摘要
目的总结基层医院胃癌及早期胃癌筛查水平。方法回顾分析上海市金山区中心医院枫泾分院自1992年1月～2007年12月接受电子胃镜检查患者的胃癌筛查结果。结果16年间因症状共行胃镜检查15075例，经活检病理或手术巨体病理共检出胃癌273例，胃癌检出率1．81％。检出早期胃癌14例，早期胃癌检出率5．13％。首次胃镜病理阴性而漏诊胃癌43例，其中进展期胃癌39例，漏诊率15．06％，早期胃癌4例，漏诊率28．57％。结论基层医院也能检出早期胃癌，并有望今后能进一步提高早期胃癌检出率。加强胃镜阴性者复查，对胃癌前病变患者追踪随诊，清洁可疑病灶，减少创面渗血，靶向活检，多点多块活检，是减少胃癌漏诊率、提高早期胃癌检出率的关键手段。
Objective To summarize the screening status of gastric cancer and early gastric cancer in community hospital. Methods Retrospectively analyzed the data of patients who underwent gastroseopies in Fengjing branch of Jinshah hospital central during January 1992 to December 2007. Results A total of 15 075 gastroscopy underwent gastroscopies 273 cases（ 1.81% ） with gastric cancer were confirmed by histopathology after biopsies or operations. Among patients with gastric cancers, 14 cases（5.13% ）were confirmed as early gastric cancer. A total of 43 cases suffered from missed diagnosis, of which 39 cases were advanced gastric cancer with missed diagnosis in 15.06% cases, and 4 cases were early gastric cancer with missed diagnosis in 28.57% cases. Conclusion Early gastric cancer can be screening in community hospital. It is indicated that detection rate of early gastric cancer can increase in future. The key points of reducing the missed diagnosis of gastric cancer and increasing the detection rate of early gastric cancer are multiple reviews of patients with negative results, follow up the patients with gastric precancerous lesions, cleaning the suspicious lesions, reducing bleeding when biopsy, targeted and multiple biopsy.
出处
《胃肠病学和肝病学杂志》
CAS
2008年第11期876-879,共4页
Chinese Journal of Gastroenterology and Hepatology
关键词
胃癌
早期胃癌
胃镜
Gastric cancer
Early gastric cancer
Gastroseopy
