摘要
目的探讨早期胃癌在白光内镜下的特征及其与病理类型的关系。方法选取210例经临床病理确诊为早期胃癌的患者为研究对象,分析早期胃癌在白光内镜下的特征,包括病灶的分布、形态、色调及边缘等,并探讨其与病理类型的关系。结果早期胃癌在白光内镜下以病灶分布在胃窦部位较为常见,占37.14%(P<0.05);早期胃癌在白光内镜下的特征主要表现为表面不规则(87.62%)及边界清晰(91.90%),且差异均有统计学意义(P<0.05);早期胃癌以平坦型(0~Ⅱ)病变较为多见,占89.05%;以分化型癌为主,占90.00%。分化型癌在白光内镜下色调多为发红;未分化型癌中色调发白、红白相间的病灶数较多,边界清晰及边缘部有浸润的病灶明显较少(P<0.05)。结论早期胃癌多发于胃窦部位,且以平坦型(0~Ⅱ)病变较为常见,在白光内镜下观察边缘清晰及表面不规则的病灶有助于早期胃癌的临床诊断,且对预判肿瘤病理类型有积极参考作用。
Objective To investigate the characteristics of white light endoscopy and its relationship with pathologist type in the early gastric cancer. Methods 210 cases of pathologically diagnosed as early gastric cancer patients were selected as the research object, analysis of early gastric cancer in white light endoscopic features, including the location, shape, color and edge, and explore its relationship with pathological types. Results In the fight of early gastric cancer with white light endoscopic lesions were common in gastric antrum part, accounted for 37.14% （ P 〈 0.05 ） ; characteristics of early gastric cancer in white light endoscopic was mainly irregular surface（87.62% ） and clear boundary（91.90% ） ,and the differences were statistically sig- nificant（ P 〈 0.05 ） ;early the fiat type of gastric cancer（0 - Ⅱ ） disease was common, accounted for 89.05%, with differentiated cancer, accounted for 90.00% ;the number of undifferentiated carcinoma lesion type color white, red and white, clear boundary edge and infiltrating lesions were significantly less （ P 〈 0.05 ）. Conclusion Early gastric carcinoma occurs in the gastric antrum, and the flat type （0 - Ⅱ） is a common disease detection, clinical observation tone change, clear edges and irregular surfaces in white light endoscopic lesions contribute to early gastric cancer, and to predict the tumor pathological type has a positive reference.
出处
《实用癌症杂志》
2018年第2期290-293,共4页
The Practical Journal of Cancer
关键词
早期胃癌
白光内镜
特征
病理类型
Early gastric cancer
White light endoscopy
Characteristics
Pathologic type
