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我院自1990年以来行胃大部切除术375例,其中经病理证实为霉菌性胃溃疡15例,12例术前误诊为胃癌,阐述如下。 1 临床资料 本组12例均为男性,年龄32岁～62岁,平均年龄52.2岁。病程最长12年,最短1年,平均6.5年。本组患者均有上腹隐痛伴嗳气、返酸,进食后症状缓解。近期内疼痛加重,失去原来的规律性,其中5例有呕血、黑便史。6例上腹部扪及边界不清的包块。5例行X线钡餐检
Our hospital since 1990, gastrectomy performed 375 cases, of which pathological confirmed as gastric ulcer in 15 cases, 12 cases of misdiagnosed as preoperative gastric cancer, described below. 1 Clinical data The group of 12 patients were male, aged 32 to 62 years, mean age 52.2 years. Duration of up to 12 years, the shortest 1 year, an average of 6.5 years. The patients have upper abdominal pain with belching, back to acid, relieve symptoms after eating. Pain in the near future, loss of the original regularity, of which 5 cases of hematemesis, melena. 6 cases of upper abdomen palpable border mass. 5 routine X-ray barium meal examination