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本文初步总结了我院1979～1985年经纤维胃胃检查的69例进展型癌(包括食管癌、贲门癌及胃癌,各类癌全部经手术后病理证实。对胃镜诊断,胃镜直视下粘膜活检及术后病理的阳性率进行了比较;胃镜诊断进展型癌63例,检出率为91.3％;胃镜直视下粘膜活检检出癌50例,检出率为72.46％。术后病理均证实为进展型癌,检出率100％。本文还对癌的大体分型,病理分型作了分析,通过检出率的比较说明了术后病理的准确性。对胃镜直视下粘膜检阳性率偏低有了初步体会,同时也说明了胃镜在诊断胃癌时的作用。
This article initially summarizes 69 cases of advanced cancer (including esophageal, cardiac, and gastric cancers) in our hospital from 1979 to 1985. All types of cancer were confirmed by pathology after surgery. For endoscopic diagnosis, endoscopic mucosa The positive rate of biopsy and postoperative pathology were compared; gastroscope diagnosed 63 cases of advanced cancer, the detection rate was 91.3%; gastroscopy biopsies detected 50 cases of cancer, the detection rate was 72.46%. The rate of detection was 100%.The general classification and pathological classification of the cancer were also analyzed in this paper. The accuracy of postoperative pathology was demonstrated by comparison of the detection rate. The low positive rate has a preliminary experience, but also shows the role of gastroscopy in the diagnosis of gastric cancer.