CAJ | 학술논문

探讨如何提高对早期胃癌的诊断率。方法：回顾性分析了1996年～1998年间9 509例胃镜检查及2 278例病理活检资料，结合手术记录。结果：有症状患者胃癌的检出率为6.77％(644/9 509例)，其中≥40岁者(9.97％)明显高于＜40岁者(1.08％)(P＜0.01)。男性高于女性(P＜0.01)。病理活检中胃癌的检出率达28.27％(644/2278例)，胃癌及癌前病变的病理检出总的阳性率高达70.85％(1 614/2278例)，其中＜40岁患者的阳性率为43.47％，而≥40岁者则高达75.86％(P＜0.01)。胃癌及癌前病变的平均年龄均高于炎症组(P＜0.01)。胃癌高发年龄为50～69岁之间，占68.2％。各病变中男性均多于女性，但40岁以前胃癌中女性多于男性(P＜0.05)。胃体及贲门部位的恶性病变多于良性病变(P＜0.01)。结论：40岁以上有症状者应常规行胃镜检查，尤其是50岁以上男性有癌前病变者以及胃体、贲门部位病变应常规行胃镜下病理活检，以及定期复查胃镜。
탐토여하제고대조기위암적진단솔。방법：회고성분석료1996년～1998년간9 509례위경검사급2 278례병리활검자료，결합수술기록。결과：유증상환자위암적검출솔위6.77％(644/9 509례)，기중≥40세자(9.97％)명현고우＜40세자(1.08％)(P＜0.01)。남성고우녀성(P＜0.01)。병리활검중위암적검출솔체28.27％(644/2278례)，위암급암전병변적병리검출총적양성솔고체70.85％(1 614/2278례)，기중＜40세환자적양성솔위43.47％，이≥40세자칙고체75.86％(P＜0.01)。위암급암전병변적평균년령균고우염증조(P＜0.01)。위암고발년령위50～69세지간，점68.2％。각병변중남성균다우녀성，단40세이전위암중녀성다우남성(P＜0.05)。위체급분문부위적악성병변다우량성병변(P＜0.01)。결론：40세이상유증상자응상규행위경검사，우기시50세이상남성유암전병변자이급위체、분문부위병변응상규행위경하병리활검，이급정기복사위경。
The aim of this study was to enhance the diagnostic rate in early gastric cancer. Methods: 9 509 cases gastroscopy and 2 278 cases histopathology combining with the operation between 1996 and 1998 were analyzed retrospectively. Results: The detected rate of gastric cancer in the symptomatic patients is 6.77% (664/9509 cases), and the patients no younger than 40(9.97% ) is more than that younger then 40( 1.08 % )(P ＜ 0.01), in which the male (8.42 % ) is more higher than the female (4.49 % ) (P ＜ 0.01 ). The detected rate of histopathology in gastric cancer is 28.27 % (644/2278 cases). The total positive rate of histopathology (include gastric cancer and premalignant lesions) is 70.85 % (1614/ .2278cases), in which, the positive rate of patients in age of less than 40 is 43.47%, but that in age of no less than 40 is 75.86% (P＜0.01). The mean ages of patients with gastric cancer and premalignant lesions were older than that of patients with inflammation respectively (P ＜ 0.01). The peak incidence was in patients 50～69 years of age and accounted for 68.2%. The male is more than female in all lesions, but in patients with gastric cancer in age of less than 40, the female is more than the male (P ＜0.05). Malignant lesions in gastric body and cardia were more than benign lesion(P ＜0.01). Conclusion: The patients in age of more than 40 should be taken gastroscopy co mmonly, especially the male in age of more than 50, and with pre-malignant lesions and the lesions in gastric body and cardia must be taken histopathology under gastroscope and follow up regularly.