门诊症状患者早期胃癌及癌前病变的发病情况及特点  

The incidence and characteristics of early gastric cancer and precancerous lesions in outpatients with symptoms

作　　者：蒋潇洒 付亚军 杨倩[1] 秦赟 张欢[1] 邹百仓[1] 王进海[1] 秦斌[1] Jiang Xiaosa;Fu Yajun;Yang Qian;Qin Yun;Zhang Huan;Zou Baicang;Wang Jinhai;Qin Bin(Department of Gastroenterology,the Second Affiliated Hospital of Xi'an Jiaotong University,Shaanxi Xi'an 710004,China;Internal Medicine Department,Jiren Hospital Affiliated to the Second Clinical Hospital of Xi'an Jiaotong University,Shaanxi Xi'an 710004,China)

机构地区：[1]西安交通大学第二附属医院消化内科,陕西西安710004 [2]西安交通大学第二临床医学院附属济仁医院,陕西西安710004

出　　处：《现代肿瘤医学》2020年第16期2851-2855,共5页Journal of Modern Oncology

基　　金：陕西省重点项目(编号:2018ZDXM-SF-055)。

摘　　要：目的:了解门诊患者早期胃癌及癌前病变的发病情况及其特点,探讨对于症状性患者胃镜检查的重要性。方法:选择门诊因有消化道症状行电子胃镜检查的患者,进行标准的胃镜检查和染色,记录其基础资料及临床资料,分析早期胃癌及癌前病变的发病情况及其特点。结果:慢性萎缩性胃炎、肠上皮化生、胃癌及异型增生的检出率分别为:53. 96%、7. 64%、4. 96%。男性和高龄均为三者的危险因素。结论:门诊症状性患者早期胃癌及癌前病变的检出率相对较高,应加强胃镜筛查.Objective:To analyze the incidence and characteristics of gastric cancer and precancerous lesions in outpatients and to explore the importance of gastroscopy for patients with symptoms.Methods:Patients with gastrointestinal symptoms and underwent electronic gastroscopy were selected.Standard gastroscopy and staining were performed.The basic and clinical data were recorded to analyze the incidence and characteristics of early gastric cancer and precancerous lesions.Results:The detection rates of chronic atrophic gastritis,intestinal metaplasia,gastric cancer and dysplasia were 53.96%,7.64%and 4.96%,respectively.Men and advanced age were risk factors for all of them.Conclusion:The detection rate of gastric cancer and precancerous lesions in outpatient symptomatic patients is relatively high,so gastroscopy should be strengthened.

关 键 词：胃镜检查 胃癌 癌前疾病 症状性筛查 

分 类 号：R735.2[医药卫生—肿瘤]