纤维胃镜及活检诊断贲门癌135例分析

ANALYSIS ON 135 CASES OF CARCINOMA OF CARDIA DIAGNOSED BY GASTROFI BERSCOPY AND BIOPSY

以往认为胃癌半数以上发生于胃窦部,其次为胃小弯,胃体及贲门部较少。但近年贲门癌有增高趋势。根据我院近二年胃镜及活检诊断贲门癌135例资料,贲门癌占同期检出各部位胃癌的28.3％,占有较高比例。男女之比为9.4:1,40岁以上者占全部病例的93.3％,病变多发生在小弯侧及后壁,以隆起型病变为主,其次为浸润型及溃病型病变。所以对40岁以上有剑突下不适、吞咽梗噎感及呕血、频繁呃逆者在进行胃镜检查时,应仔细观察贲门部,不能只满足于发现胃体、胃窦及幽门病变。

According to the data of 135 cases of carcinoma of cardia diagnosed by gastrofiberscopy and biopsy during nearly two years, carcinoma of cardia took 28.3 percent in all carcinoma of stomach cases detected at the same time,it had a higher proportion. The proportion of male to female was 9.4:1.patients over 40 years made up 93. 3 percent.The pathological changes were often appeared at curvatura ventriculi minor and rear wall,the main pathological changes were upheaval type,then were infiltration type and ulcerative type. So the patients who are over 40 years and feel unwell below xiphoidprocess and have blocking feeling while swallowing or hematemesis, or frequent hiccup are doing gastroscopy,doctors should reversedly observe pars cardiaca and it is not enough to find pathological changes at corpus ventriculi, antrum ventriculi and pylorus areas only.