重庆医学
重慶醫學
중경의학
CHONGQING MEDICAL JOURNAL
2014年
29期
3870-3872
,共3页
邵顺子%赵晶京%于晓娜%张昊翔%沈才飞%王璞%夏一菊%李靖文%张安然%徐胤%彭贵勇%房殿春
邵順子%趙晶京%于曉娜%張昊翔%瀋纔飛%王璞%夏一菊%李靖文%張安然%徐胤%彭貴勇%房殿春
소순자%조정경%우효나%장호상%침재비%왕박%하일국%리정문%장안연%서윤%팽귀용%방전춘
食管腺癌%贲门腺癌%内窥镜检查,消化系统%构成比
食管腺癌%賁門腺癌%內窺鏡檢查,消化繫統%構成比
식관선암%분문선암%내규경검사,소화계통%구성비
esophageal adenocarcinoma%gastric cardia adenocarcinoma%endoscopy,digestive system%proportions
目的：回顾性分析该院30年间食管腺癌及贲门腺癌的内镜检出情况，探讨食管腺癌及贲门腺癌发病趋势。方法收集该院1983年1月至2012年12月食管腺癌和贲门腺癌患者的胃镜诊疗及病理诊断记录，统计患者的病理诊断结果、性别等相关数据，分析30年间食管腺癌和贲门腺癌患者检出率的变化。结果30年来该院行胃镜检查435829例，检出食管鳞癌10301例（2．4％），食管腺癌352例（0．08％），贲门腺癌3058例（0．70％），非贲门胃癌5543例（1．3％）。食管腺癌检出率无论在男性还是在女性均无明显上升趋势，但食管癌构成比例[食管腺癌/（食管鳞癌＋食管腺癌）]从1．90％上升至3．20％，提示食管腺癌检出率有上升趋势。贲门腺癌检出率从0．70％上升并稳定在0．81％，其中男性的检出率从0．90％上升至1．30％。贲门腺癌构成比例[贲门腺癌/（贲门腺癌＋非本门腺胃癌）]从25．30％上升至38．30％。结论30年来食管腺癌的内镜检出率无明显变化，但其构成比例呈上升趋势。贲门腺癌的内镜检出率及构成比例均呈缓慢的上升趋势，尤以男性更为明显。
目的：迴顧性分析該院30年間食管腺癌及賁門腺癌的內鏡檢齣情況，探討食管腺癌及賁門腺癌髮病趨勢。方法收集該院1983年1月至2012年12月食管腺癌和賁門腺癌患者的胃鏡診療及病理診斷記錄，統計患者的病理診斷結果、性彆等相關數據，分析30年間食管腺癌和賁門腺癌患者檢齣率的變化。結果30年來該院行胃鏡檢查435829例，檢齣食管鱗癌10301例（2．4％），食管腺癌352例（0．08％），賁門腺癌3058例（0．70％），非賁門胃癌5543例（1．3％）。食管腺癌檢齣率無論在男性還是在女性均無明顯上升趨勢，但食管癌構成比例[食管腺癌/（食管鱗癌＋食管腺癌）]從1．90％上升至3．20％，提示食管腺癌檢齣率有上升趨勢。賁門腺癌檢齣率從0．70％上升併穩定在0．81％，其中男性的檢齣率從0．90％上升至1．30％。賁門腺癌構成比例[賁門腺癌/（賁門腺癌＋非本門腺胃癌）]從25．30％上升至38．30％。結論30年來食管腺癌的內鏡檢齣率無明顯變化，但其構成比例呈上升趨勢。賁門腺癌的內鏡檢齣率及構成比例均呈緩慢的上升趨勢，尤以男性更為明顯。
목적：회고성분석해원30년간식관선암급분문선암적내경검출정황，탐토식관선암급분문선암발병추세。방법수집해원1983년1월지2012년12월식관선암화분문선암환자적위경진료급병리진단기록，통계환자적병리진단결과、성별등상관수거，분석30년간식관선암화분문선암환자검출솔적변화。결과30년래해원행위경검사435829례，검출식관린암10301례（2．4％），식관선암352례（0．08％），분문선암3058례（0．70％），비분문위암5543례（1．3％）。식관선암검출솔무론재남성환시재녀성균무명현상승추세，단식관암구성비례[식관선암/（식관린암＋식관선암）]종1．90％상승지3．20％，제시식관선암검출솔유상승추세。분문선암검출솔종0．70％상승병은정재0．81％，기중남성적검출솔종0．90％상승지1．30％。분문선암구성비례[분문선암/（분문선암＋비본문선위암）]종25．30％상승지38．30％。결론30년래식관선암적내경검출솔무명현변화，단기구성비례정상승추세。분문선암적내경검출솔급구성비례균정완만적상승추세，우이남성경위명현。
Objective To describe the time trend of esophageal and gastric cardia adenocarcinomas in Chongqing of China in the past 30 years .Methods The medical records of all patients who underwent gastroscopy from Janaury 1983 to December 2012 at the Southwest hospital were reviewed .The rate of endoscopic detection and proportion of adenocarcinoma in all upper gastrointestinal tumors (esophageal adenocarcinoma ,esophageal squamous cell carcinoma ,gastric cardia adenocarcinoma and gastric non-cardiac ad-enocarcinoma) were compiled and serial comparisons were made .Results 435 829 patients who underwent gastroscopy were re-viewed .Totally ,there were 352 patients with esophageal adenocarcinomas(0 .08% ) ,10 301 with esophageal squamous cell carcino-mas(2 .40% ) ,3 058 with gastric cardia adenocarcinomas(0 .70% ) and 5 543 with gastric non-cardiac adenocarcinomas(1 .30% ) .O-ver the 30-year period ,the rate of endoscopic detection of esophageal adenocarcinomas did not show a statistically significant .How-ever ,the proportion of esophageal adenocarcinomas increased from 1 .90% to 3 .20% ,suggesting an increased proportions .The rate of endoscopic detection of gastric cardia adenocarcinomas increased from 0 .70% to 0 .81% and the proportions of gastric cardia ade-nocarcinomas increased from 25 .30% to 38 .30% .Conclusion Over the 30-year period ,it seems that the incidence of esophageal adenocarcinoma had increased .An increasing trend of gastric cardia adenocarcinoma is also observed in this study ,especially in male patients .
