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纤维胃镜检查(以下简称胃镜)可以检出X线漏诊病变并通过组织学和细胞学检查确定诊断,尤其对早期发现胃癌,彻底改善其预后有很大作用。随着胃镜的普及,充分发挥其效能,提高检查技术和减少漏诊是很必要的。胃镜漏诊可能各院皆有,然而胃镜漏诊的分析报道极少。作者曾经胃镜和病理确诊一例溃疡型胃癌,患者随即去他院复查却被漏诊,而诊为浅表性胃炎。另外,一般对胃镜诊断比较信赖,假如漏诊了恶性病变,往往延误治疗时机。因此探讨胃镜漏诊原因,具有一定普遍意义和重要性。
Fiberoptic gastroscopy (hereinafter referred to as gastroscopy) can detect X-ray missed lesions and confirm the diagnosis through histological and cytological examinations. It is particularly useful for the early detection of gastric cancer and a radical improvement in its prognosis. With the popularity of gastroscopes, it is necessary to give full play to their effectiveness, improve inspection techniques and reduce missed diagnosis. The missed diagnosis of gastroscopy may be found in all hospitals. However, there are few reports of missed diagnosis of gastroscopy. The author had gastroscopy and pathology confirmed a case of ulcerated gastric cancer, then the patient went to his hospital for review but was missed, and diagnosed as superficial gastritis. In addition, the diagnosis of gastroscopy is generally more reliable. If a malignant lesion is missed, it often delays the timing of treatment. Therefore, it is of universal significance and importance to investigate the reasons for the missed diagnosis of gastroscopy.