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병리조직학적(病理組織學的)으로 확진(確診)된 각종 위질환(胃疾患)에 있어서 위내시경진단법(胃內視鏡診斷法)과 위(胃) X 선진단법에 의한 소견의 비교 검토
송인성 대한소화기학회 1979 대한소화기학회지 Vol.11 No.2
Preoperative gastroendoscopic and roentgenologic findings of stomach were evaluated in 231 cases of gastric diseases proven by the surgical intervention and histopathological examination. The results were as follows: 1) In the diagnosis of 175 cases of gastric cancer, correct diagnosis was made by gastroendoscopy in 82.3% and by rcentgenography in 81.6% significantly different statistically. And gastroendoscopy plus roentgenography permitted a correct diagnosis in 90% of the cases. The rate by which both gastroendoscopy and roentgenography for the diagnosis of gastric cander made diagnosis concomitantly was 78.6% in correctly diagnosed group and 8% in incorrectly diagnosed group, summing up the coincidence rate between two methods to 86.6%. 2) In the diagnosis of 31 cases of benign gastric ulcer, correct diagnosis was made by gastroendoscopy in 48.4% and by roentgenography in 67.7%, significantly different statistically. And gastroendoscopy plus roentgenography permitted a correct diagnosis in 74.2%. The rate of identical diagnosis by both gastroendoscopy and roentgenography for the diagnosis of benign gastric ulcer, on the contrary to gastric cancer, was 48.4% in correctly diagnosed group and 22.6% in incorrectly diagnosed group, making the coincidence rate of diagnosis by two methods in 71%. It is claimed at correct diagnosis for the brnign gastric ulcer from the above data that some other diagnositic methods like gastric output study and cytology of gastric juice are needed beyond the conventional gastroendoscopic and radiologic method, as with needs of expertise in both fields.