【摘要】目的：探讨运用胃镜对胃部恶性肿瘤进行诊断的临床方法及意义。方法：对经胃镜检查以及病理活检诊断为胃部恶性肿瘤的221例患者的临床诊疗资料进行回顾性分析。结果：本组胃癌病例中男女比例为3.69：1；平均发病年龄为60.13岁，胃恶性肿瘤累及部位以胃窦、贲门和胃体最为多见；胃恶性肿瘤分型中以Ⅲ型溃疡浸润型和Ⅱ型溃疡型为最多；病理组织学分型中腺癌及低分化腺癌为最多。结论：对胃部恶性肿瘤运用内镜进行临床诊断需要在熟练掌握病理特征的基础上结合相关的病理组织学活检结果，以提高胃癌患者的临床诊断率，及早开展治疗。

    【关键词】胃部恶性肿瘤；胃镜；诊断；分析

    182 cases of endoscopic diagnosis of stomach cancer

    【Abstract】Objective: Explore the use of endoscopic diagnosis of stomach cancer and the significance of clinical methods. Methods: Retrospective analysis by gastroscopy and biopsy diagnosis of stomach cancer in 221 patients in the clinical diagnosis and treatment information. Results: The male to female ratio of gastric cancer patients was 3.69:1; average age was 60.13 years, stomach cancer involving part of the antrum, cardia and gastric body of the most common; type of gastric m alignant ulcer infiltrating type Ⅲ And Ⅱ a maximum of ulcer type; histological type of adenocarcinoma and poorly differentiated adenocarcinoma was the most.Conclusions: The use of endoscopy for the stomach cancer need to master the clinical diagnosis based on the combination of pathological features related to histological biopsy results, in order to improve the diagnosis rate of patients with gastric cancer, early treatment undertaken. ......