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胃底贲门癌的临床内镜研究
引用本文:任刚,蔡嵘,程普选,丁文熙,许幼如,陈强.胃底贲门癌的临床内镜研究[J].中国内镜杂志,2003,9(2):13-14,17.
作者姓名:任刚  蔡嵘  程普选  丁文熙  许幼如  陈强
作者单位:上海第二医科大学附属新华医院肿瘤中心,200092
摘    要: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(Helicobacter pylori,Hp)进行研究及分析。结果:隆起溃疡型(52.46%)、溃疡型(22.95%)、隆起型(18.03%)、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(26.23%),Hp(-)的发生率(80.33%)显著高于Hp( )的发生率(19.67%)。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。

关 键 词:胃底贲门癌  临床  内镜  研究  病理  流行病学

CLINICAL ENDOSCOPY STUDY ON STOMACH CARDIA-FUNDUS CANCER
Ren Gang,Cai Rong,Chen Puxuan,et al..CLINICAL ENDOSCOPY STUDY ON STOMACH CARDIA-FUNDUS CANCER[J].China Journal of Endoscopy,2003,9(2):13-14,17.
Authors:Ren Gang  Cai Rong  Chen Puxuan  
Institution:Ren Gang,Cai Rong,Chen Puxuan,et al. Oncology Center,Xinhua Hospital,Shanghai 200092
Abstract:Objective:To learn clinical endoscopic pathogical character of stomach cardia-fundus carcinoma. Methods: Study and analysis of 61 patients' first complaint, endoscopic present, pathological type and Helicobacter pylori ( Hp ) infection with clinical epidemicology method. Results:The incidence will be in decline order among the patients of raised- ulcerative type (52.46%), ulcerative type (22.95%), raised type(18.03%), erosive type(4.91%) and mucus concentrate type(1.64%); The incidence of larger lessions(>2cm) is higher than smaller ones(73.77%:26.23%). The incidence of Hp negative is significant higher than Hp positive(26.23%:80.33%) .Conclusion:The Cardia-fundus carcinoma patients have the highest raised-ulcerative type, larger than 2cm lession and low Hp infection.
Keywords:Stomach Carcinoma  Clinic  Endoscopy  Pathology$$$$
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