亚高原地区72例早期胃癌内镜及病理分析  

Endoscopic and Pathological Analysis of 72 Cases with Early Gastric Carcinoma at Xining Area

作　　者：马丽莉[1] 马颖才[1] 刘芝兰[1] 王燕[1] 德吉措姆[1] 

机构地区：[1]青海省人民医院消化内科,810007

出　　处：《青海医药杂志》2014年第6期1-3,共3页Qinghai Medical Journal

摘　　要：目的:观察和研究早期胃癌的内镜下特征、病理学特点及其临床意义。方法:2010年4月—2012年6月在我院内镜中心行内镜下早癌筛查,对40岁以上门诊行胃镜检查的患者,普通胃镜下发现可疑病灶者应用色素内镜对早癌病灶随机进行靛胭脂、冰醋酸靛胭脂及肾上腺素染色检查,发现早癌行病理活检,对其内镜下表现、病理类型及幽门螺杆菌(HP)检出情况进行研究及分析。结果:早期胃癌中位年龄57.24岁,男性明显多于女性(31),病理分型以腺癌最多,其次为高级别内瘤变,黏液细胞癌及未分化癌最少。结论:早期胃癌临床及胃镜表现不典型,早诊断、早治疗是提高患者治愈率的关键。To investigate and study the en ogic characteristics and clin- ical significance of early gastric carcinoma. Methods： Early gastric cancer diagnosis screening was carried out from April, 2010 to June, 2012 in endoscopic centre of our hospital. Indigo carmine, glacial acetic acid, and epineph- rine staining were randomLy used and then examined by chromoendoscopy in patients over the age of 40 from outpa- tient ordinary endoscopy showed suspicious lesions. The early carcinoma biopsy was carried out in the patients sus- picious for cancer change in the gastric tissue. Comprehensive analysis was based on the data of endoscopic exami- nation, pathological type classification and Helicobacter pylori （HP） detection. Results：The average age of early gastric carcinoma was 57.24; male was more than female（3 ： 1 ） ; the most common pathological type was Adeno- carcinoma, the second was high grade neoplasia, the last one was Krukenberg tumor and undifferentiated carcino- ma. Conclusion：Early gastric carcinoma has atypical clinical and gastroscopic manifestation . Early diagnosis and early treatments are the key to increase the cure rate.

关 键 词：早期胃癌 内镜 病理 

分 类 号：R735.2[医药卫生—肿瘤] R608[医药卫生—临床医学]