2123例胃癌发病特征及内镜病理分析  

Epidemiological feature and endoscopy pathology analysis in 2123 cases with gastric cancer

作　　者：吴建平 杨力[2] 王芳[2] 

机构地区：[1]宁夏平罗县人民医院,宁夏平罗753400 [2]宁夏医学院附属医院,宁夏银川750004

出　　处：《宁夏医学杂志》2008年第5期418-419,共2页Ningxia Medical Journal

摘　　要：目的探讨宁夏地区胃癌发病及内镜、病理特征。方法回顾性分析了2123例胃癌患者的发病特征及内镜、病理特征。结果2123例胃癌患者男女之比为3.6∶1,农民发病率较其它职业高,回族较汉族人口发病率低,Hp感染率胃窦癌最高,内镜下胃癌分布胃窦及胃体癌占78.8%,70岁后贲门胃底癌发生率有增高趋势,内镜下分型Borrm anⅢ型最多,占60.7%,病理类型以腺癌为主,占63.8%。结论胃癌的发生是多种因素参与的结果,其与年龄、性别、职业、民族以及幽门螺杆菌感染等因素有关。凡35岁以上有消化道症状的患者应尽早的进行内镜检查,早期诊断,早期治疗,改善不良的生活习惯,根除幽门螺杆菌感染可提高患者的生存率以及改善预后。Objective To explore the epidemiological feature and endoscopy pathology of gastric cancer in Ningxia area. Methods The epidemiological feature and endoscopy pathology of a total of 2123 patients with gastric cancer were assessed retrospectively. Results The ratio of male to female in total 2123 patients with gastric cancer was 3. 6： 1. The incidence of gastric cancer in farmer were higher than other occupation, Han population were higher than Hui population, H. pylori infection in the carcinoma of antrurn ventriculi was the highest. In the endoscopy the carcinoma of antrum ventriculi and corpus ventriculi was 78. 8%. The incidence of the carcinoma of cardia and fundus ventriculi was increased in patients who were older than 70 years old. The type of endoscopy Borrman Ⅲ was more common, and it was 60. 7%. The type of pathology adenocarcinoma was more common, and it was 63. 8 %. Conclusion The incidence of gastric cancer is correlated with age, sex, occupation, and nation and H. pylori infection. Diagnosis in early stage by endoscopy, changing the living habits and eradicating the H. pylori infection are able to enhance the survival rate ,as well as to improve the prognosis.

关 键 词：胃癌 内镜 病理 发病特征 

分 类 号：R735.2[医药卫生—肿瘤]