【摘要】 我们从1977～1987年10年间进行纤维胃镜粘膜活检7033例,其中正常粘膜288例,占4.09%;浅表性胃炎4487例,占63.79%;萎缩性胃炎357例,占5.07%;肥厚性胃炎3例(0.04%),各部位息肉56例(0.79%);慢性溃疡232例(3.29%);肿瘤1091例(15.55%),其中胃癌780例,占11.09%;食管癌302例,占4.29%;其他慢性炎症519例(7.37%)。正常粘膜检出率偏高萎缩性胃炎检出率偏低。浅表性胃炎最终可发展为萎缩性胃炎,而萎缩性胃炎部分可引起肠型胃癌的发生,三者之间的病变有一定的关系。提高纤维胃镜的活检诊断水平必须从取材、制片、阅片等每个环节做起,病理诊断必须结合纤维胃镜肉眼所见及临床资料。更多还原

【Abstract】 Mucosal biopsy specimens from upper gastrointestinal tract wereobtained in 7033 patients with fiberoptic gastroscopy during a pe-riod of 10 years. Among 7033 cases, normal mucosa was found in288 cases (4.09%), superficial gastritis, 4487 cases (63.79%),atrophic gastritis, 357 cases (5.07%): hypertrophic gastritis, 3cases (0.04%): polyp, 56 cases (0.79%): chronic ulcer, 232 cas-es (3.29%); gastric carcinoma, 780 cases (11.09%) & esophagealcarcinoma 302 cases. It was evident that chronic superficial gas-tritis would develope into atrophic form & atrophic gastritis withintestinal melaplasia would be prime candidates for the develop-ment of gastric carcirsoma in later years There was close relation-ship between gastritis and gastric carcinoma, particularly, theatrophic gastritis. The authors discussed the question about improving diagnosis ofmucosal biopsy with fiberoptic gastroscopy.更多还原