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目的 :探讨胃底贲门癌的临床内镜病理特征。方法 :应用临床流行病学方法 ,对 61例胃底贲门癌患者的首发症状、内镜表现 ,病理类型及幽门螺杆菌 (Helicobacterpylori,Hp)进行研究及分析。结果 :隆起溃疡型(52 .46 % )、溃疡型 (2 2 .95 % )、隆起型 (1 8.0 3 % )、糜烂型 (4.91 % )、黏膜集中型 (1 .64 % )的发生率依次降低 ;直径 >2cm病灶的发生率 (73 .77% )显著高于直径 <2cm病灶的发生率 (2 6 .2 3 % ) ,Hp(- )的发生率(80 .33 % )显著高于Hp(+)的发生率 (1 9.67% )。结论 :胃底贲门癌患者中隆起溃疡型发生率最高 ,直径 >2cm病灶多见 ,且较少受到Hp的感染
Objective: To investigate the clinicopathological features of gastric cardia carcinoma. Methods: The clinical manifestations, endoscopic findings, pathological types and Helicobacterpylori (Hp) in 61 patients with gastric cardia and cardia were studied by clinical epidemiological methods. Results: The incidences of ulcer (52.46%), ulcer (2.95%), bulge (1.83%), erosive (4.91%) and mucosal focus (P <0.01). The incidence of lesions> 2 cm in diameter (73.77%) was significantly higher than that of lesions <2 cm in diameter (26.23%), and the incidence of Hp (-) The incidence of Hp (+) (1 9.67%). Conclusions: The incidence of bulging ulcer is the highest in patients with gastric cardia carcinoma, more than 2 cm in diameter and more rarely in Hp