川中丘陵地区上消化道恶性肿瘤流行病学特征——附8188例胃镜分析  

Epidemic Characteristic of Cancer on Upper Digestive Tract in Upland of Middle Sichuan Analysis on Castroscopy of 8 188 Cases

作　　者：季桂芳[1] 吴天清[1] 张旭东[1] 刘官明[1] 范希成 龙亚军[1] 周宇[1] 

机构地区：[1]四川省绵阳市三台县人民医院,621100

出　　处：《中国初级卫生保健》2004年第7期21-23,共3页Chinese Primary Health Care

基　　金：中国初级卫生保健基金会资助项目(编号:中初卫010-03)

摘　　要：目的研究上消化道恶性肿瘤的流行病学特征。方法采用隐血珠初筛、胃镜精查、病理确诊三级检查法,普查30岁以上的普通人群。结果隐血珠初筛率为15.07%;隐血珠阳性率为18.33%;电子胃镜检查率为20.03%;病理检查率为22.89%;确诊恶性肿瘤213例,其中食管癌92例,贲门癌21例,胃癌100例,早期恶性肿瘤158例,各种癌前病变1093例。流行病学特征:男性高于女性,年龄多发生在40～50岁,主要分布在农村边远山区丘陵地带。结论对川中丘陵地区进行上消化道肿瘤普查,为研究该地区各种上消化道恶性肿瘤的患病率、流行病学特征和恶性肿瘤的一、二级预防提供了坚实的基础。OBJECTIVE To study the epidemic characteristic of cancer on upper digestive.METHODS The 3 step examination including OBB(occult blood bead test),gastroscope and pathology have been carried out for people aged than 30.RESULTS The screening rate by OBB is 15.07%and the positive rate is 18.33%;the examination rate by gastroscope and pathology are 20.03%and 22.89%respectively,213 people have been diagnosed as cancer,including 92 cases of esophagus cancer,21 cases of cardial cancer and 100 cases of gastric cancer.1 093 people were found in precancerous period and 158 people with cancer in early stage.The distribution of cancer show a remarkable difference in sexuality,age and district that the prevalence rate of man is greater than woman,age of 40～50 greater than other age,and people in rural or upland district greater than that of city or level ground.CONCLUSION The general examination for tumor of upper digestive tract is the solid basis for the study and prevention of cancer in the region.

关 键 词：川中丘陵地区 上消化道恶性肿瘤 流行病学 流行特征 胃镜检查 诊断 

分 类 号：R735[医药卫生—肿瘤]