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目的探讨贲门溃疡内镜下表现与病理诊断特点。方法回顾性分析2011年3月-2016年2月在解放军总医院诊断为贲门溃疡的308例患者的内镜资料及病理结果。结果贲门溃疡中男性264例(85.7%),女性44例(14.3%),>60岁的患者占比61.3%,恶性溃疡占比65.9%,贲门癌病理中腺癌多见(85.5%),单发溃疡、污秽苔及溃疡>2.0 cm转化为贲门癌的比例分别为58%、78%、87.5%,内镜下诊断与病理结果符合率为71.1%,一致性检验Kappa值为0.438。结论贲门溃疡癌发率较高,但内镜下诊断与病理结果符合率一般。
Objective To investigate the endoscopic features and pathological diagnosis of cardia ulcer. Methods A retrospective analysis of endoscopic data and pathological findings of 308 patients diagnosed with cardia ulcer in PLA General Hospital from March 2011 to February 2016 was performed. Results There were 264 males (85.7%), 44 females (14.3%), 61.3% females, 65.9% malignant ulcers and 85.5% The rates of single ulcer, foul moss and ulcer> 2.0 cm into cardia cancer were 58%, 78% and 87.5% respectively. The coincidence rate of endoscopic diagnosis and pathological results was 71.1%. The consistency test Kappa value was 0.438. Conclusion The incidence of gastric cardia ulcer is high, but the coincidence rate of endoscopic diagnosis and pathological results is normal.