摘要
目的 :总结内镜诊断食管、贲门部良、恶性肿瘤与疾病的内镜特征。方法 :采用回顾性分析讨论。结果 :2 4年间对 3731例行内镜检查 ,1937例诊断为癌 ,镜检阳性率 5 1.9% (1937/ 3731)。诊断食管癌 116 7例 ,贲门癌 6 15例 ,食管癌放疗后癌复发 74例 ,食管、贲门癌术后吻合口复发 81例 ,其癌活检阳性率分别为 88.9% (10 37/ 116 7)、83 .4% (5 13/ 6 15 )、79.7% (5 9/ 74)、和 93 .8% (76 / 81)。良性肿瘤和其他疾病 174例。无出血、穿孔及意外死亡等并发症发生。本文结合肿瘤专科特点 ,对食管多发癌和食管、胃重复癌、食管癌放疗后癌复发、术后吻合口癌复发及食管、贲门良性肿瘤与其他疾病的内镜诊断进行讨论。结论 :纤维内镜对食管、贲门部良、恶性肿瘤及其他疾病的诊断和鉴别诊断有重要意义 ,可为肿瘤的治疗提供有益的帮助。
Objective:To evaluate the diagnostic characteristics of endoscopic findings of esophageal and gastric cardial tumor and diseases.Methods:By retrospective analysis and discussion.Results:During 24-year period,3731 patients were undergone endoscopic examination.1937 patients were diagnosed as carcinoma,in which the positive rate of endoscopic examination was 51.9%(1937/3731).Among the patients,the esophageal carcinoma was found in 1167 cases,the gastric cardial in 615,the esophageal recurrence of post-irradiation in 74,and the anastomotic recurrence of post-operative esophageal and gastric cardial carcinoma in 81,for which the positive rate of endoscopic biopsy was 88.9%(1077/1167),83.4%(513/615),79.7%(59/74)and 93.8%(76/81),respectively.Esophageal and gastric cardial benign tumor and diseases were found in 174 cases.No complications occurred such as hemorrhage,perforation,unexpected death and so on.In this article,we have stress on discussion about the multiple esophageal carcinoma,the double carcinomas of esophagus and gastric cardia,the esophageal recurrence of post-irradiation,the anastomotic recurrence of post-operative esophageal and gastric cardial carcinoma,and endoscopic diagnoses of esophageal and gastric cardial benign tumor and diseases.Conclusions:Fiberoendoscopy has important value in establishing a definite diagnosis and different diagnosis,and may be helpful in selecting theraputic methods.
出处
《中国内镜杂志》
CSCD
2001年第1期42-43,共2页
China Journal of Endoscopy
关键词
食管癌
贲门癌
内镜
诊断
Esophageal neoplasm
Cardial carcinoma
Endoscopy
