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目的探讨电子胃镜对十二指恶性肿瘤检查的临床意义。方法在2007年1月1日～2010年1月20日在本院作电子胃镜检查的患者将胃镜常规送入十二指肠降段以下至水平部,反复注气吸气,进退镜,旋转镜身等,仔细观察十二指肠降段以下、降段、球部,尽量减少盲区,与2005年1月1日～2006年12月31日作胃镜检查的病例作对照回顾性分析。结果在2007年1月1日～2010年1月20日作胃镜检查5999例中发现十二指肠恶性肿瘤15例,其中十二指肠球部癌3例,胰头癌侵犯十二指肠2例,十二指肠乳头癌2例,十二指肠降段及降段以下8例,而在2005年1月1日～2006年12月31日胃镜检查2326例中未发现十二指肠恶性肿瘤的诊断,两组间比较差异有统计学(χ2=5.82、P<0.05)。结论在电子胃镜检查中仔细检查十二指肠降段以下、降段、球部,尽量减少盲区,具有重要临床意义。
Objective To investigate the clinical significance of electronic endoscopy in the diagnosis of twelve malignant tumors. Methods From January 1, 2007 to January 20, 2010 in our hospital for electronic gastroscopy patients underwent endoscopy routine duodenal descending segment to the level of the Department, repeated inflatable inspiratory, retraction mirror, rotation Mirror body, carefully observe the descending segment below the duodenum, descending segment, the Ministry of the ball, minimize the blind spot, and January 1, 2005 ~ December 31, 2006 for gastroscopy cases retrospective analysis. Results From January 1, 2007 to January 20, 2010, gastroscopy was performed in 5999 cases of duodenal malignancies found in 15 cases, of which 3 cases of duodenal bulb carcinoma, pancreatic head carcinoma invading the duodenum 2 cases, duodenal papillary carcinoma in 2 cases, duodenal descending segment and descending segment in 8 cases, while in the January 1, 2005 ~ December 31, 2006 endoscopy 2326 cases were found in 12 fingers The diagnosis of intestinal malignant tumor, the difference between the two groups was statistically significant (χ2 = 5.82, P <0.05). Conclusions In electronic gastroscopy carefully examined below the descending segment of the duodenum, descending segment, ball, minimize blind spots, has important clinical significance.