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目的分析1076例镜下胃癌的临床症状、肿瘤部位、镜下形态、大小、病理学分类,探讨其规律性。方法采用电子胃镜检查,取活检做病理切片诊断。结果胃癌多发生于中、老年人,其发病高峰在平均(55±5)岁,青年多散发性,男女比例为2.3∶1,症状多不典型,以腺癌居多,占95%,镜下隆起型和溃疡型较多见,早期胃癌发现率低,仅占查出胃癌的5.9%。结论电子胃镜检查是诊断胃癌的重要方法,其活检病理学诊断对胃癌确诊率很高,胃镜检查时对胃癌高发部位应特别注意,不能忽略青年胃癌的发生,其恶性程度较高,必须提高早期诊断率。
Objective To analyze the clinical symptoms, tumor location, microscopic morphology, size and pathological classification of 1076 cases of gastric carcinoma and to investigate their regularity. Methods Electron gastroscopy was used to take biopsy for pathological diagnosis. Results Gastric cancer occurred mostly in the middle-aged and elderly. The peak incidence was (55 ± 5) years old. The young were more sporadic. The ratio of male to female was 2.3: 1. The symptoms were mostly atypical, mostly adenocarcinoma, accounting for 95% Uplift and ulcer type more common, early gastric cancer was found low, accounting for only 5.9% of gastric cancer detected. Conclusion Electron gastroscopy is an important method to diagnose gastric cancer. The diagnosis of gastric cancer by biopsy pathology is very high. Gastroscopy should pay special attention to the high incidence of gastric cancer. Gastroscopy should not neglect the occurrence of gastric cancer. Its malignancy must be increased early Diagnostic rate.