我院自1977年1月至1986年12月进行纤维胃镜检查10124例(次),检出胃癌679例(大部为手术、小部为病理切片证实),检出率6.71％。其中进展期667例,早期12例(均手术证实),检出率1.8％(12/679),现作回顾性分析如下。病例和方法男538例,女141例,男:女为3.82:1。年龄19～82岁,其中41～60岁占53.6％。癌肿部位胃窦部283例(41.7％),胃体部228例(33.6％),贲门部168例 In our hospital from January 1977 to December 1986, 10124 cases (times) of gastroscopy were performed. 679 cases of gastric cancer were detected (most of them were confirmed by surgery and small sections were confirmed by pathological sections). The detection rate was 6.71%. Of these, 667 were progressive and 12 were early (all confirmed by surgery). The detection rate was 1.8% (12/679). The retrospective analysis is as follows. The cases and methods were 538 males and 141 females, male and female were 3.82:1. The age ranged from 19 to 82 years, of which 41 to 60 years accounted for 53.6%. 283 cases (41.7%) of gastric antrum, 228 cases (33.6%) of gastric body, and 168 cases of cardia.