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[3000例上消化道内镜检查经验]

[Exerience with 3000 endoscopies of the upper digestive tract].

作者信息

Alban Munoz V

出版信息

G E N. 1976 Jan-Jun;30(3-4):189-200.

PMID:829858
Abstract

A study is presented of over 3,000 upper gastrointestinal endoscopies over a 4 year period. The principal findings were: 1.282 normal 42,73%), 349 gastric ulcers (11,63%), 314 duodenal ulcers (10,47%), and 208 gastric cancers (6,90%). Endoscopy is an important method for the study of upper gastrointestinal tract diseases. Specially for nonconclusive X-ray study, locating the site of a hemorrhage, differentiating between a benign and a malignant lesion, recommending continuation of medical treatment or surgery, and indicating the zone of surgical resection. The routine use for endoscopy should be insisted upon in patients with vague chronic symptoms to increase the diagnosis of incipient lesions. We have obtained more advantages with endoscopy than with X-rays. However, both methods are complementary and give a more certain diagnosis of digestive diseases. It is a method that when done by experts is innocuous and free of complications. Although the cost of the fibroscope instruments is high, the invaluable services they render to gastroenterology more than compensate their cost.

摘要

一项对4年期间3000多例上消化道内镜检查的研究报告如下。主要发现为:1. 282例正常(42.73%),349例胃溃疡(11.63%),314例十二指肠溃疡(10.47%),以及208例胃癌(6.90%)。内镜检查是研究上消化道疾病的重要方法。特别是对于X线检查结果不明确的情况,可用于确定出血部位、区分良性和恶性病变、建议继续内科治疗还是手术治疗,以及指明手术切除范围。对于有慢性模糊症状的患者,应坚持常规进行内镜检查,以提高早期病变的诊断率。与X线检查相比,我们通过内镜检查获得了更多优势。然而,两种方法相辅相成,能更确切地诊断消化系统疾病。这是一种由专家操作时无害且无并发症的检查方法。虽然纤维内镜器械成本高昂,但它们为胃肠病学提供的极其宝贵的服务足以弥补其成本。

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