308例贲门溃疡的内镜表现与病理学分析

Correlation between endoscopic fi ndings and pathologic eternitis in gastric cardia ulcer:a 308 cases analysis

目的探讨贲门溃疡内镜下表现与病理诊断特点。方法回顾性分析2011年3月-2016年2月在解放军总医院诊断为贲门溃疡的308例患者的内镜资料及病理结果。结果贲门溃疡中男性264例(85.7%),女性44例(14.3%),>60岁的患者占比61.3%,恶性溃疡占比65.9%,贲门癌病理中腺癌多见(85.5%),单发溃疡、污秽苔及溃疡>2.0 cm转化为贲门癌的比例分别为58%、78%、87.5%,内镜下诊断与病理结果符合率为71.1%,一致性检验Kappa值为0.438。结论贲门溃疡癌发率较高,但内镜下诊断与病理结果符合率一般。

Objective To investigate the correlation between endoscopic findings and pathologic features of gastric cardia ulcer. Methods A retrospective analysis of the endoscopic and pathology results of 308 cases diagnosed as gastric cardia ulcer from March 2011 to February 2016 in Chinese PLA General Hospital was performed. Results There were 264 males（85.7%） and 44 females（14.3%） in the sample, and 61.3% of them were older than 60 years old. Malignant ulcer accounted for 65.9% of all the cases. The percentage of cardiac adenocarcinoma was 85.5%. The rates of cardiac carcinoma in single ulcer,〉2.0 cm and coating dirty color of ulcer were 58%, 78%, 87.5% respectively. The consistence of endoscopic performance and pathological degree was 71.1%. Conclusion The canceration rate of cardia ulcer was high, and the endoscopic performance was not highly consistent with pathological degree.