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本文观察胃癌患者胃液CEA含量与肿瘤部位组织学分型及手术的关系,并与胃良性病变相比较。结果表明:1.胃癌者胃液CEA值明显高于非癌者(P<0.001),阳性率81.9％,萎缩性胃炎界于胃癌与浅表性胃炎和溃疡病组之间。2.胃癌的部位、组织学分型与胃液CEA无关。3.手术切除肿瘤后胃液CEA值明显下降。作者认为胃液CEA可用作为胃癌前期病变的筛选随访,术后测定以检出早期复发,并可能作为观察疗效的一个指标。
This article observes the relationship between gastric juice CEA content in gastric cancer patients and the histological type and operation of the tumor site, and compares with the benign gastric lesions. The results showed that:1. CEA values of gastric juice in gastric cancer patients were significantly higher than those in non-cancer patients (P<0.001), and the positive rate was 81.9%. Atrophic gastritis was defined between gastric cancer and superficial gastritis and ulcer disease groups. 2. The location and histological type of gastric cancer have nothing to do with gastric juice CEA. The CEA value of gastric juice was significantly decreased after surgical resection of tumor. The authors believe that CEA in gastric juice can be used as a screening and follow-up for precancerous lesions of gastric cancer. Postoperative determination can detect early recurrence and may be used as an indicator to observe the efficacy.