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目前内镜检查是诊断胃癌的重要手段,但在内镜下肉眼观察胃癌仍有不少误、漏诊。 1977年1月至1989年3月我院用内镜检查门诊患者14112例,每例都做活检病理,而肉眼诊断胃癌或疑癌者加做细胞刷涂片检查,共检出胃癌802例(5.68％),经手术及术后病理检查,证实早期胃癌54例(占胃癌总数6.7％),其中首次内镜肉眼误、漏诊29例(54％);进展期胃癌748例(占胃癌总数93.3％),首次内镜肉眼误诊17例(2.3％)。总误诊46例,总误诊率5.7％。活检阳性率92.3％,细胞刷涂片检查阳性率93.9％。现将46例误漏诊原因分析如下:
At present, endoscopy is an important means for diagnosing gastric cancer. However, there are still many mistakes and missed diagnosis of gastric cancer. From January 1977 to March 1989, 14112 outpatients were endoscopically diagnosed in our hospital. In each case, biopsy was performed. In addition, 802 cases of stomach cancer were detected in addition to cytomammies or suspected cancers. 5.68%) After surgery and postoperative pathological examination, 54 cases of early gastric cancer (6.7% of total gastric cancer) were confirmed, among which 29 cases (54%) were misdiagnosed and misdiagnosed with the naked eye for the first time; 748 cases of advanced gastric cancer (93.3% of total gastric cancer) %). The first endoscopy misdiagnosed 17 cases (2.3%). The total misdiagnosis of 46 cases, the total misdiagnosis rate of 5.7%. The positive rate of biopsy was 92.3%, and the positive rate of cell brush smear was 93.9%. 46 cases of misdiagnosis are analyzed as follows: