CAJ | 학술논문

目的：探讨近十三年四川北部地区食管癌发病特点,研究其发病变化规律,为临床研究提供资料,指导临床治疗,为综合防治措施提供策略。方法采用回顾性研究收集川北医学院附属医院和南充市中心医院2001年1月至2013年12月经病理确诊的全部食管癌病例,探讨其性别、年龄、肿瘤发生部位、病理类型、地域分布以及生活习惯等变化规律及特点,了解其各组之间的发病特点。结果2001年1月至2013年12月我院和南充市中心医院确诊的食管癌21010例,其中鳞状细胞癌为83．25%,腺癌为8．64%,原位癌为6．02%,小细胞癌为2．09%,早期食管癌为3．75%。60岁组发病率最高,50岁组次之。男性发病率(72．25%)高于女性(27．75%),农村发病率(68．32%)高于城市(31．68%),差异有统计学意义( P<0．01)。食管中段是肿瘤的好发部位。年龄和肿瘤部位都与性别无关。结论四川北部地区仍是食管癌高发区,但中青年食管癌发病比率较低,发病高峰年龄明显后移；病理类型较前多样化,早期癌的检出率仍较低,应当引起重视,加强综合防治措施。
목적：탐토근십삼년사천북부지구식관암발병특점,연구기발병변화규률,위림상연구제공자료,지도림상치료,위종합방치조시제공책략。방법채용회고성연구수집천북의학원부속의원화남충시중심의원2001년1월지2013년12월경병리학진적전부식관암병례,탐토기성별、년령、종류발생부위、병리류형、지역분포이급생활습관등변화규률급특점,료해기각조지간적발병특점。결과2001년1월지2013년12월아원화남충시중심의원학진적식관암21010례,기중린상세포암위83．25%,선암위8．64%,원위암위6．02%,소세포암위2．09%,조기식관암위3．75%。60세조발병솔최고,50세조차지。남성발병솔(72．25%)고우녀성(27．75%),농촌발병솔(68．32%)고우성시(31．68%),차이유통계학의의( P<0．01)。식관중단시종류적호발부위。년령화종류부위도여성별무관。결론사천북부지구잉시식관암고발구,단중청년식관암발병비솔교저,발병고봉년령명현후이；병리류형교전다양화,조기암적검출솔잉교저,응당인기중시,가강종합방치조시。
Objective To investigate the incidence of esophageal carcinoma in the recent 13 years, research the variation regularity and offer compositive strategy of prophylactic and treatment. Methods The gastroscopic data in ChuanBei Hospital and Nanchong Central Hospital were collected from 2001 to 2013,The constitution rate of esophageal carcinoma was analyzed according to their gender,age,tumor location,pathology,region,habits and customs. Results 21010 cases of esophageal carcinoma were de-tected from 2001 to 2013, pathologic type was squamouscarcinoma ( 83. 25%), adenocarcinoma ( 8. 64%), carcinomain situ (6. 02%),small cell carcinoma(2. 09%). The mean age of male(61. 08 ± 9. 69)was a little higher than that of female(60. 85 ± 8. 24), The incidence of 60 group was the highest and 50 group was secondary. Incidence of esophageal carcinoma of male (72. 25%)was higher than incidence of esophageal carcinoma of male(27. 75%),incidence of esophageal carcinoma of country (68. 32%)was higher than incidence of esophageal carcinoma of city(31. 68%). Esophageal carcinoma was inclined to locate the medium segment, which had no relation with sex and age. Conclusion The northernarea in Sichuani is the high morbidity area of esophageal carcinoma. The morbidity is the lowest in the age group of young,the patients of exophageal carcinoma rose yearly. Pathologic type was raised. The early diagnosis and treatment rates warrant further improvement,and treatment outcome also needs improvement.