食管贲门癌128例内镜观察分析

Value of Endoscopy in 128 Cases of Esophageal and Cardiac Carcinoma

本文报告纤维胃镜检查8207例经病理证实的食管贲门癌128例,检出率1.55％,表明活检结合印检,刷检细胞学检查,阳性率达61.36％,联合诊断不仅阳性率高,而且可提高对早期食管贲门癌的阳性率。它是以胃镜观察及活检为基础。以印、刷检细胞学检查为核心的一种比较敏感的联合检查方法。

This paper reports on endoscopical finding in 128 cases of histopathologically documented esophageal and cardiac carcinoma among 8207 patients examined with a detective rate of 1.55% for malignancy. All of the examinees under- went biopsy,touch smear cytologic and brush cytologic sampling during the endoscopic examination. The overall positive rate after the combined procedures was 61.36%. This included also early cases. On the basis of endoscopic observation and biopsy the touch smear and brush cytology played an important role in early detection of malignant esophageal as well as cardiac lesion.