胃黏膜皱襞巨大肥厚21例临床分析

目的 探讨良、恶性胃黏膜皱襞巨大肥厚的鉴别诊断。方法 胃镜诊断与黏膜活检、手术后病理诊断对照。结果 胃镜诊断21例胃黏膜皱襞巨大肥厚患者，其中弥漫性肥厚15例，局限性肥厚6例，常规病理活检仅发现7例恶性病变。术前胃镜诊断慢性胃黏膜肥厚性胃病8例，其中5例施行手术，均为恶性病变，误诊率这63．5％。结论 慢性胃黏膜肥厚性胃病(Menetrier)是少见的，胃黏膜皱襞巨大肥厚以恶性者居多。

21 clinical analysis of gastric mucosal giant hypertrophy

[Objective] To inverstigate differential diagnosis of nor-malignancy and malignancy gastic mucosal giant hypertrophy. [Methods] To compare diagnosis of endoscopy, histopathological and postoperation. [Results] 21 patients of gastric mucosal giant hypertrophy were diagnosed by endoscopy, among 7 gastic malignant tumours by biopsy. 5 of 8 Menetrier who were operated were gastic malignant tumours, misdiagnostic rate 63.5%. [Conclusion] Menetrier is rare and most of gastric mucosal giant hypertrophy is malignant.