纤维内窥镜诊断胃内良性与恶性溃疡探讨(附1180例分析)

用纤维胃镜诊断1180例胃内良、恶性溃疡。两者高发年龄均在40～59岁组,男女之比为3∶1.良性溃疡<2cm 的占78.8%;恶性溃疡>2cm 的占69.9%。恶性溃疡形态不规则比良性多,溃疡底高低不平呈“小岛状”,占69.6%;有堤坝感者占94.4%。恶性溃疡伴萎缩性胃炎者达77.5%。活检强调在溃疡的内侧缘取标本,至少取组织6块以上。对高疑病例活检阴性者应追踪观察,及时复检。

Fiberendoscopic Diagnosis of Benign and Malignant Ulcers in Stomachs An Analysis of 1180 Cases

We had diagnosed 1180 patients suffering from benigs or malignant u- lcers of the stomach by gastrofiberscopy.The highest incidence of both benign and malignant ulcers of stomach occurred within the 40 to 59 age group.The incidence was higher in males than in females(3:1).In most of the benigs ulcers,the sizes of the lesion were under 2 cm in diameter (78.8%);But in most of the malignant ulcers,the sizes of the lesion were over 2cm in diameter (69.9%).The malignant ulcers were irregular in shape,with an uneven or irregularly nodular base (69.9%). The margins of most of the uleers were just like a dam (94.4).Many malignant ulces occurred in atrophied gastritis (77.5%).It is emphasized that biopsy specimens should be taken from the inner side of the margin. At least six biopsy specimens need to be taken for each case.The highly suspected cases in whom biopsies revealed negative results should be followed up and reexamined in time.