胃巨大溃疡的胃镜及病理与临床特点分析  

The Gastroscopic and Pathological Characteristics of Huge Stomach Ulcer

作　　者：周荣翠 

机构地区：[1]云南省文山市人民医院,云南文山663000

出　　处：《中国医学创新》2015年第2期47-49,共3页Medical Innovation of China

摘　　要：目的：探讨胃巨大溃疡的内镜及病理与临床特点，为正确诊治积累经验。方法：对2007年1月-2013年12月间经胃镜检查发现的108例胃巨大溃疡患者进行回顾性总结分析。结果：108例胃巨大溃疡中良性溃疡44例，占40.74%（44/108），恶性溃疡64例，占59.26%（64/108）。良性溃疡直径在3.0~3.5 cm之间者占86.36%（38/44），大于3.5 cm者13.64%（6/44）；恶性溃疡直径在3.0~3.5 cm之间者占31.25%（20/64），大于3.5 cm者68.75%（44/64）。Hp感染良性为59.09%，恶性为84.38%。发病年龄40岁以上多见。结论：胃巨大溃疡多为恶性，Hp感染率高，对有消化道症状及年龄在40岁以上，有饮酒史、肿瘤家族史、幽门螺杆菌感染阳性的患者应注意做胃镜检查，以提高早期检出率。Objective：To investigate the gastroscopic and pathological characteristics of huge stomach ulcer, and make a guideline for the clinic.Method：A retrospective analysis on 108 patients diagnosed huge stomach ulcer from January 2007 to December 2013 were done.Result：Of all the 108 patients,44 were benign and 64 were malignant.Among the benign ulcer,the diameter of 86.36%（38/44） were in 3-3.5 cm,and 13.64%（6/44） were bigger than 3.5 cm.And among the malignant ulcer,the diameter of 31.25%（20/64） were in 3-3.5 cm, and 68.75%（44/64） were bigger than 3.5 cm.For the infection of Hp（helicobacter pylori）,the infection ratio of benign ulcer was 59.09% while the malignant ulcer was 84.38%.Most of the patients were over 40 years old.Conclusion：Most of the stomach ulcer were malignant with HP infection,digestive symptoms,and the patients’ age were over 40.These patients had a greater potency of having a history of alcohol abuse or family history of cancer.For the patients who were infected by Hp,a gastroscopy is necessary for early diagnose.

关 键 词：胃巨大溃疡 胃镜 肿瘤 病理学 

分 类 号：R573.1[医药卫生—消化系统]