胃底贲门癌的临床内镜研究

CLINICAL ENDOSCOPY STUDY ON STOMACH CARDIA-FUNDUS CANCER

目的 :探讨胃底贲门癌的临床内镜病理特征。方法 :应用临床流行病学方法 ,对 61例胃底贲门癌患者的首发症状、内镜表现 ,病理类型及幽门螺杆菌 (Helicobacterpylori,Hp)进行研究及分析。结果 :隆起溃疡型(52 .46 % )、溃疡型 (2 2 .95 % )、隆起型 (1 8.0 3 % )、糜烂型 (4.91 % )、黏膜集中型 (1 .64 % )的发生率依次降低 ;直径 >2cm病灶的发生率 (73 .77% )显著高于直径 <2cm病灶的发生率 (2 6 .2 3 % ) ,Hp(- )的发生率(80 .33 % )显著高于Hp(+)的发生率 (1 9.67% )。结论 :胃底贲门癌患者中隆起溃疡型发生率最高 ,直径 >2cm病灶多见 。

Objective:To learn clinical endoscopic pathogical character of stomach cardia-fundus carcinoma. Methods: Study and analysis of 61 patients' first complaint, endoscopic present, pathological type and Helicobacter pylori ( Hp ) infection with clinical epidemicology method. Results:The incidence will be in decline order among the patients of raised- ulcerative type (52.46%), ulcerative type (22.95%), raised type(18.03%), erosive type(4.91%) and mucus concentrate type(1.64%); The incidence of larger lessions(>2cm) is higher than smaller ones(73.77%:26.23%). The incidence of Hp negative is significant higher than Hp positive(26.23%:80.33%) .Conclusion:The Cardia-fundus carcinoma patients have the highest raised-ulcerative type, larger than 2cm lession and low Hp infection.