目的 :探讨贲门部癌早期诊断的可行性措施。方法 :对 2 76例经胃镜及病理证实的贲门部癌资料进行回顾性分析。结果 :5 0岁以上贲门部癌占总数的 77 90 % ;小于 40岁者 10例 ;男性 2 43例 (88 0 4% ) ,女性 33例(11 96 % )。H·pylor感染率为 2 6 40 % (4 7/ 178例 )。结论 :吞咽困难是贲门部癌首要的临床症状。H·pylori在贲门部癌的发生因素中不是主要的因素 ,年龄和性别与贲门部癌发生有密切的关系。采用U形返转法胃镜检查结合活组织病理检查是目前确诊贲门部癌的最主要的方法 Objective: To investigate the feasibility of early diagnosis of cardia cancer. Methods: Two hundred and seventy-six cases of gastric cardia carcinoma confirmed by endoscopy and pathology were retrospectively analyzed. Results: 77 90% of the patients with cardia and cancer in 50 years old and 10 cases less than 40 years old were male, 433 (88 0 4%) male and 33 female (11 96%) female. H · pylor infection rate was 26-40% (47/178 cases). Conclusion: Dysphagia is the primary clinical symptom of cardia cancer. H · pylori is not the main factor in the occurrence of cardia cancer, and age and sex are closely related to the occurrence of cardia cancer. U-turn method gastroscopy combined with biopsy is the most important method of diagnosis of cardia cancer