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本文对800例慢性浅表性胃炎患者进行活组织学追踪观察,并经术后病理检查证实Ⅱ.型早期胃癌12例(1.3%).结果表明从患慢性残表性胃炎1年左右者检出癌4例(1.1%),背景为正常胃粘膜并癌变,慢性浅表性胃炎属伴发;患病16年左右者检出癌3例(1.4%),背景病变为慢性浅表性胃炎,由其直接癌变;24年左右者检出5例(2.5%),背景病变为慢性萎缩性胃炎,其由慢性浅表性胃炎演变而来,经肠上皮型异型腺管癌变.
In this paper, 800 patients with chronic superficial gastritis were observed by biopsy, and postoperative pathology confirmed Ⅱ type early gastric cancer in 12 cases (1.3%) .The results show that from patients with chronic residual gastritis about 1 year 4 cases (1.1%) were diagnosed as cancer, with normal gastric mucosa and canceration in the background, and chronic superficial gastritis with concomitant disease. In 16 years, 3 cases (1.4%) were diagnosed with cancer and the background lesions were chronic superficial gastritis , Which was directly carcinogenic. In 24 years, 5 cases (2.5%) were detected, the background lesions were chronic atrophic gastritis, which evolved from chronic superficial gastritis and changed into intestinal dysplasia.