目前,对中、晚期胃癌的治疗尚缺乏有效手段,预后较差;而早期胃癌经及时手术、化疗后的5年存活率可达99%.所以胃癌早期诊断防治工作中的重要课题之一.我院自1984年5月～1997年5月经纤维内窥镜检查发现早期胃癌129例.现报告如下:1 资料和方法本组男性91例、女性38例,年龄17～78岁(平均 46.7岁),其中40岁～49岁者39例(30.2%).因上腹饱胀、夜间不适行胃镜检查者66例(51.2%),因上腹隐痛、反酸检查者42例(32.6%),因上消化道出血或其它症状检查者21例(16.3).均经刷检和/或活检病理检查确诊,其中104例接受了 At present, the treatment of gastric cancer in middle and advanced stage is still lack of effective means, and the prognosis is poor. However, the 5-year survival rate of early gastric cancer after immediate surgery and chemotherapy can reach 99%. Therefore, one of the important topics in the prevention and treatment of early gastric cancer is prevention. In our hospital from May 1984 to May 1997, 129 cases of early gastric cancer were detected by fiberoptic endoscopy. The present report is as follows: 1 Materials and Methods 91 males and 38 females aged 17 to 78 years (mean 46.7 years old) ) Of these, 39 (39.4%) were 40 to 49 years old. 66 (51.2%) had gastroscopy due to epigastric fullness and night discomfort. 42 (32.6%) had abdominal pain and acid reflux checkups. Twenty-one patients (16.3) who underwent upper digestive tract bleeding or other symptoms were diagnosed by brushing and/or biopsy pathology, of which 104 were accepted.