CAJ | 학술논문

目的：分析早期胃癌的临床病理特点，观察患者术后生存情况。方法选择2010年10月-2012年3月来该院治疗早期胃癌的患者50例，对50例患者的临床病理特点及随访情况进行回顾。结果通过分析发现，高分化腺癌在贲门部的发生率明显高于胃体和胃窦部(P<0.05)，低分化腺癌在胃窦部的发生率高于胃体和贲门部，但差异无统计学意义(P>0.05)。在检查癌灶<3 cm的早期胃癌患者中，发现粘膜内癌发生率明显于高于粘膜下癌的发生率(P<0.05)。而对于癌灶>3 cm的早期胃癌患者，粘膜下癌的发生率明显高于粘膜内癌的发生率(P<0.05)。经过早期手术治疗，患者的存活率明显增大。结论早期胃癌根据其分化不同生长的部位也不同，癌灶大小对癌组织的生长部位也有影响，所以临床医生在诊断，需要加强重视，避免漏诊，尽早检查胃癌，尽早治疗，能提高患者的生存时间。
목적：분석조기위암적림상병리특점，관찰환자술후생존정황。방법선택2010년10월-2012년3월래해원치료조기위암적환자50례，대50례환자적림상병리특점급수방정황진행회고。결과통과분석발현，고분화선암재분문부적발생솔명현고우위체화위두부(P<0.05)，저분화선암재위두부적발생솔고우위체화분문부，단차이무통계학의의(P>0.05)。재검사암조<3 cm적조기위암환자중，발현점막내암발생솔명현우고우점막하암적발생솔(P<0.05)。이대우암조>3 cm적조기위암환자，점막하암적발생솔명현고우점막내암적발생솔(P<0.05)。경과조기수술치료，환자적존활솔명현증대。결론조기위암근거기분화불동생장적부위야불동，암조대소대암조직적생장부위야유영향，소이림상의생재진단，수요가강중시，피면루진，진조검사위암，진조치료，능제고환자적생존시간。
Objective To analyze the clinicopathological characteristics of early gastric cancer and observe the postoperative sur-vival of the patients. Methods 50 cases with early gastric cancer treated in our hospital from October 2010 to March 2012 were selected, and the clinicopathological characteristics and result of follow-up of the patients were reviewed. Results It was found by the analysis that the incidence of well differentiated adenocarcinoma in cardia area was significantly higher than that in body of stomach and gastric antrum (P<0.05);the incidence of poorly differentiated adenocarcinoma in gastric antrum was higher than that in body of stomach and cardia area but with no significant difference (P>0.05). It was found that the incidence of intra-mucosal carcinoma was significantly higher than that of submucosal carcinoma in the examination of early gastric cancer patients with can-cerous foci less than 3cm(P<0.05), while for the patients with cancerous foci greater than 3cm, the incidence of submucosal carci-noma was obviously higher than that of intra-mucosal carcinoma (P<0.05). After early operation treatment, the survival rate of the patients increased obviously. Conclusion The site of early gastric cancer is diverse due to different differentiation, and the size of the cancerous foci can affect the cancer tissue production site, therefore clinicians should strengthen the attention to diagnosis in order to avoid missed diagnosis, and detect and treat gastric cancer as soon as possible, thereby prolonging the survival time of the patients.