中国内镜杂志
中國內鏡雜誌
중국내경잡지
CHINA JOURNAL OF ENDOSCOPY
2001年
1期
42-43
,共2页
冯纯伟%周鑫官%吴维继%倪庆增%蒋向民%张庆震
馮純偉%週鑫官%吳維繼%倪慶增%蔣嚮民%張慶震
풍순위%주흠관%오유계%예경증%장향민%장경진
食管癌%贲门癌%内镜
食管癌%賁門癌%內鏡
식관암%분문암%내경
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：24年间对3?731例行内镜检查，1?937例诊断为癌，镜检阳性率51.9%(1?937/3?731)。诊断食管癌1?167例，贲门癌615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%(1 037/1 167)、83.4%(513/615)、79.7%(59/74)、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。
目的：總結內鏡診斷食管、賁門部良、噁性腫瘤與疾病的內鏡特徵。方法：採用迴顧性分析討論。結果：24年間對3?731例行內鏡檢查，1?937例診斷為癌，鏡檢暘性率51.9%(1?937/3?731)。診斷食管癌1?167例，賁門癌615例，食管癌放療後癌複髮74例，食管、賁門癌術後吻閤口複髮81例，其癌活檢暘性率分彆為88.9%(1 037/1 167)、83.4%(513/615)、79.7%(59/74)、和93.8%(76/81)。良性腫瘤和其他疾病174例。無齣血、穿孔及意外死亡等併髮癥髮生。本文結閤腫瘤專科特點，對食管多髮癌和食管、胃重複癌、食管癌放療後癌複髮、術後吻閤口癌複髮及食管、賁門良性腫瘤與其他疾病的內鏡診斷進行討論。結論：纖維內鏡對食管、賁門部良、噁性腫瘤及其他疾病的診斷和鑒彆診斷有重要意義，可為腫瘤的治療提供有益的幫助。
목적：총결내경진단식관、분문부량、악성종류여질병적내경특정。방법：채용회고성분석토론。결과：24년간대3?731례행내경검사，1?937례진단위암，경검양성솔51.9%(1?937/3?731)。진단식관암1?167례，분문암615례，식관암방료후암복발74례，식관、분문암술후문합구복발81례，기암활검양성솔분별위88.9%(1 037/1 167)、83.4%(513/615)、79.7%(59/74)、화93.8%(76/81)。량성종류화기타질병174례。무출혈、천공급의외사망등병발증발생。본문결합종류전과특점，대식관다발암화식관、위중복암、식관암방료후암복발、술후문합구암복발급식관、분문량성종류여기타질병적내경진단진행토론。결론：섬유내경대식관、분문부량、악성종류급기타질병적진단화감별진단유중요의의，가위종류적치료제공유익적방조。
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.
