中华消化内镜杂志
中華消化內鏡雜誌
중화소화내경잡지
CHINESE JOURNAL OF DIGESTIVE ENDOSCOPY
2009年
2期
65-68
,共4页
黄晓俊%南寿山%金安琴%樊红%王祥
黃曉俊%南壽山%金安琴%樊紅%王祥
황효준%남수산%금안금%번홍%왕상
胃癌%内窥镜检查%流行病学
胃癌%內窺鏡檢查%流行病學
위암%내규경검사%류행병학
Gastric cancer%Endoscopy%Epidemiology
目的 探讨甘肃省胃镜检出胃癌的临床流行病学特点.方法 选择1977年1月至2006年12月甘肃省163所医院胃镜检出并经病理确诊的胃癌患者的病例资料.对其主要的内镜下改变、临床特点及流行病学特点进行回顾性分析.结果 甘肃省30年胃镜检出并经病理证实的胃癌34 116例,总检出率为5.30%,且呈逐年下降趋势,其中贲门癌占胃癌总数的18.50%,非贲门部胃癌占81.50%,各部位胃癌中胃窦癌占首位(38.63%).近10年中,贲门癌构成比从16.1%上升至20.0%,胃癌男女构成比为3.56:1,且本省胃癌检出率以武威地区最高,为8.19%.组织学分类显示,低分化腺癌占胃癌总数的49.64%.结论 甘肃省胃癌发病以河西地区为高,以胃窦癌为主,胃癌病理学分类主要为高度恶性腺癌,且30年中胃癌的检出率明显下降,贲门癌检出率亦呈下降趋势,早期胃癌检出率较低.
目的 探討甘肅省胃鏡檢齣胃癌的臨床流行病學特點.方法 選擇1977年1月至2006年12月甘肅省163所醫院胃鏡檢齣併經病理確診的胃癌患者的病例資料.對其主要的內鏡下改變、臨床特點及流行病學特點進行迴顧性分析.結果 甘肅省30年胃鏡檢齣併經病理證實的胃癌34 116例,總檢齣率為5.30%,且呈逐年下降趨勢,其中賁門癌佔胃癌總數的18.50%,非賁門部胃癌佔81.50%,各部位胃癌中胃竇癌佔首位(38.63%).近10年中,賁門癌構成比從16.1%上升至20.0%,胃癌男女構成比為3.56:1,且本省胃癌檢齣率以武威地區最高,為8.19%.組織學分類顯示,低分化腺癌佔胃癌總數的49.64%.結論 甘肅省胃癌髮病以河西地區為高,以胃竇癌為主,胃癌病理學分類主要為高度噁性腺癌,且30年中胃癌的檢齣率明顯下降,賁門癌檢齣率亦呈下降趨勢,早期胃癌檢齣率較低.
목적 탐토감숙성위경검출위암적림상류행병학특점.방법 선택1977년1월지2006년12월감숙성163소의원위경검출병경병리학진적위암환자적병례자료.대기주요적내경하개변、림상특점급류행병학특점진행회고성분석.결과 감숙성30년위경검출병경병리증실적위암34 116례,총검출솔위5.30%,차정축년하강추세,기중분문암점위암총수적18.50%,비분문부위암점81.50%,각부위위암중위두암점수위(38.63%).근10년중,분문암구성비종16.1%상승지20.0%,위암남녀구성비위3.56:1,차본성위암검출솔이무위지구최고,위8.19%.조직학분류현시,저분화선암점위암총수적49.64%.결론 감숙성위암발병이하서지구위고,이위두암위주,위암병이학분류주요위고도악성선암,차30년중위암적검출솔명현하강,분문암검출솔역정하강추세,조기위암검출솔교저.
Objective To investigate the clinical epidemiological characteristics of gastric carcinoma detected by endoscopy in Gansu province.Methods Data of patients with gastric carcinoma,which was detected by endoscopy and confirmed pathologically from January 1977 to December 2006 in 163 hospitals of Gansu province,were reviewed.The endoscopic findings,clinical manifestations and epidemiological features were retrospectively analyzed.Results A total of 34,116 patients were diagnosed as gastric carcinoma with the overall screening rate as 5.30%,which was decreasing in the recent years.The rate of cardiac and noncardiac cancer was 18.5%and 81.5%,respectively,and the rate of cardiac cancer raised from 16.1%to 20.0%in the last decade.The tumor was most likely detected in antrum(38.63%).The male/female ratio of gastric cancer is 3.56:1.The screening rate of gastric carcinoma was the highest in Wuwei district (8.19%).The poorly differentiated adenocarcinoma accounted for 49.64%in all patients.Conclusion Gastric carcinoma occurs most frequently in Wuwei district of Gansu province and was mostly detected in gastric antrum.The most common pathological type is poorly differentiated adenocarcinoma.In the past three decades,the detection rate of gastric cancer is decreasing,SO is that of cardiac cancer,and that of the early gastric cancer is relatively low.
