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自1977年8月至1983年7月用纤维胃镜检查了397例患者,其中119例为食管、贲门癌,发现早期病变4例(3.4％);45例为胃癌,有4例为早期癌(8.9％)。全部病例未发生过穿孔、大出血或其他合并症。 纤维镜直视下诊断101例食管癌,其中93例与病理一致,符合率92.1％,直视下诊断18例贲门癌,符合率为83.3％,在直视下诊断胃癌45例,符合率73.3％。换言之,直视下诊断食管癌比较容易,诊断胃癌比较困难,必须活检才能提高准确率。内窥镜检可补充X线的不足,并提高确诊率。 因此,诊断食管、贲门和胃的病变,应该从内窥镜直视检查结合活检和擦检三者综合分析才最后作出诊断,单以直视诊断是不够全面的。
From 1977 to July 1983, 397 patients underwent gastroscopy, of whom 119 were esophageal and cardiac cancers. Four cases (3.4%) of early lesions were found; 45 were gastric cancers, and 4 were early cancers ( 8.9%). No cases of perforation, major bleeding, or other complications occurred in all cases. 101 cases of esophageal cancer were diagnosed under direct fiberscope. Among them, 93 cases were consistent with pathology, and the coincidence rate was 92.1%. Eighteen cases of cardiac cancer were diagnosed under direct vision, the coincidence rate was 83.3%. 45 cases underwent direct vision diagnosis of gastric cancer, and the coincidence rate was 73.3. %. In other words, it is easier to diagnose esophageal cancer under direct vision. Diagnosing gastric cancer is more difficult and biopsy is necessary to improve accuracy. Endoscopy can supplement the deficiency of X-rays and increase the diagnosis rate. Therefore, the diagnosis of esophageal, cardiac and gastric lesions, should be from the endoscopic examination with a combination of biopsy and scratch inspection of the three comprehensive analysis before the final diagnosis, a single direct vision diagnosis is not comprehensive.