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本文系5年来经纤维胃镜检查配合直视下活检,刷检符合早期胃癌诊断标准24例,均经手术证实。占同期检出胃癌总数5.07％。男22例,女2例。年龄30～66岁。临床表现不同程度的胃肠道症状,上消化道出血或消瘦等。肉眼所见分类:Ⅰ型4例,Ⅱ型12例其Ⅱb型9例,Ⅲ型8例。肿瘤分布:贲门区5例,胃(穴豆)部11例,胃角7例,体小弯1例。早期胃癌5年生存率可达90％以上,要提高胃癌的疗效,关键在提高“早癌”的发现率。本文肯定了纤维胃镜的检查对发现早期胃癌的价值及提高“早癌”发现率的重要意义。重点提出提高镜检对早期胃癌肉眼识别力及提高治检阳性率几点见解。
This article has been a biopsy under fiberoptic gastroscopy with direct vision in the past 5 years. The brushing inspection accords with the diagnostic criteria of early gastric cancer in 24 cases, all confirmed by surgery. The total number of gastric cancers detected during the same period was 5.07%. There were 22 males and 2 females. Age 30 to 66 years old. Clinical manifestations of varying degrees of gastrointestinal symptoms, upper gastrointestinal bleeding or weight loss. The naked eye can see the classification: type I 4 cases, type II 12 cases of type IIb 9 cases, type III 8 cases. Tumor distribution: There were 5 cases in the cardia area, 11 cases in the stomach (hole beans), 7 cases in the gastric horn, and 1 case in the small body curve. The 5-year survival rate of early gastric cancer can reach more than 90%. To improve the efficacy of gastric cancer, the key is to increase the discovery rate of “early cancer.” This article confirms the importance of fiberoptic gastroscopy in detecting the value of early gastric cancer and improving the detection rate of “early cancer”. Focuses on improving the microscopic examination of the visual acuity of early gastric cancer and improve the positive rate of the treatment.