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36例早期胃癌临床、内镜和病理特点分析 被引量:14

Clinical,endoscopic and pathologic analysis of 36 cases of early gastric cancer
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摘要 目的探讨早期胃癌的内镜和临床特点,提高早期胃癌的检出率。方法回顾性分析近3年来该院36例经过手术切除病理证实的早期胃癌患者的临床表现、内镜特点。结果胃窦和胃角病变占72%;60岁以上组占到了77.8%,以70~79岁年龄组最多;早期胃癌HP感染率为63.8%;淋巴结转移发生在低分化腺癌和印戒细胞癌。结论内镜对发现并治疗早期胃癌具有重要的作用;人群HP感染率似乎较以前降低,可以说明患者早期胃癌年龄推迟的原因。 [ Objective ] To analyze the feature of endoscopic and clinical characteristic of early gastric cancer and promote the diagnosis rate. [Methods] The clinical and endoscopic features of 36 patients with early gastric cancer confirmed by operation and pathologic analysis were retrospectively analyzed in our hospital during the last 3 years. [Results] 72% of the tumors were located in the antrum and angulus. 77.8% of the patients were older than 60 years, among which most patients were 70-79 years old. HP infection was 63.8%. Lymphatic metastasis all oc- curred in poorly differentiated adenocarcinoma and signet-ring cell carcinoma. [ Conclusions ] Endoscopic examina- tion is very important to diagnose and cure early gastric cancer; HP infection rate seems decrease at present, which may explain the later stage of onset of early gastric cancer.
出处 《中国内镜杂志》 CSCD 北大核心 2012年第9期939-941,共3页 China Journal of Endoscopy
关键词 早期胃癌 内镜诊断 幽门螺杆菌 early gastric cancer endoscopic diagnosis HP
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