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本文分析8096例胃镜检查中发现的251例高位胃癌的临床和内镜检查资料。251例高位胃癌占同期胃癌总数的28.2％。40岁以上中老年男性居多,合并出血者占40.3％。内镜肉眼观察的诊断准确率(94.8％),明显高于X线钡餐透视的诊断正确率(37.9％)。绝大多数是进展期癌,早癌仅3例(1.2％)。印片,刷片细胞学检查与活检联合使用时,251例高位胃癌的阳性率(94％)显著高于单独活检的阳性率(72.1％)。
This article analyzes the clinical and endoscopic data of 251 cases of high gastric cancer found in 8096 gastroscopy. 251 cases of high gastric cancer accounted for 28.2% of the total number of gastric cancer during the same period. Most middle-aged and old men over the age of 40 accounted for 40.3% of the combined bleeding. The diagnostic accuracy of endoscopic macroscopic observation (94.8%) was significantly higher than that of X-ray barium meal (37.9%). The vast majority are advanced cancers, with only 3 cases of early cancer (1.2%). The positive rate of 251 cases of high gastric cancer (94%) was significantly higher than that of the biopsy alone (72.1%).