中国整合胃癌前病变临床管理指南  

Chinese Integrated Guideline on Clinical Management of Gastric Precancerous Conditions and Lesions

作　　者：中华中医药学会脾胃病分会 中华医学会消化病学分会消化肿瘤协作组 中华医学会消化内镜学分会早癌协作组 中华医学会病理学分会消化病理学组 中国中西医结合学会消化系统疾病专业委员会 王萍[2] 李鹏[3] 陈萦晅[4] 李理[5] 卢瑗瑗 周炜洵[7] 卞立群[2] 张北华[2] 尹晓岚 李军祥[8] 陈杰[7] 张澍田[3] 时永全 唐旭东[2] Spleen&Stomach Disease Branch,China Association of Chinese Medicine;Digestive Oncology Group,Chinese Society of Gastroenterology;Early Cancer Group,Chinese Society of Digestive Endoscopy;Digestive Pathology Group,Chinese Society of Pathology;Digestive Disease Committee,Chinese Association of Integrative Medicine

机构地区：[1]不详 [2]中国中医科学院西苑医院脾胃病研究所,100078 [3]首都医科大学附属北京友谊医院,100050 [4]上海交通大学医学院附属仁济医院 [5]中国中医科学院广安门医院 [6]空军军医大学第一附属医院,710032 [7]中国医学科学院北京协和医院,100730 [8]北京中医药大学东方医院,100078

出　　处：《胃肠病学》2021年第2期91-111,共21页Chinese Journal of Gastroenterology

基　　金：国家重点研发计划“健脾活血方案治疗胃癌前病变临床循证评价及其疗效机制研究”(2017YFC1700601);国家中医药管理局重大疑难疾病中西医临床协作试点“胃癌前病变”项目。

摘　　要：正确应对和处理胃癌前病变和癌前疾病,对降低胃癌发病率具有重大意义。本指南结合我国胃癌前病变和癌前疾病的发病和诊治现状,从定义和流行病学、诊断和分期、监测、治疗、疗效评价五个方面切入,中西医整合、多学科参与,共同提出针对性的诊治要点和策略,以期对此类疾病的临床规范诊治发挥指导作用,从而实现胃癌的有效二级预防。Standardized diagnosis and effective treatment of gastric precancerous conditions and lesions are of great importance in preventing gastric cancer.This guideline was developed by five associations of traditional Chinese medicine and Western medicine based on the current status of prevalence,clinical diagnosis and treatment,integrating the Western medicine and traditional Chinese medicine with multidisciplinary participation,to provide targeted suggestions about essentials and strategies from the definition,epidemiology,diagnosis,staging,surveillance,treatment and evaluation of gastric precancerous conditions and lesions.It may play a guidance role in standardized diagnosis and treatment of gastric precancerous conditions and lesions and achieving effective secondary prevention of gastric cancer.

关 键 词：胃癌 癌前病变 癌前状态 中西医结合 诊断 治疗 监测 

分 类 号：R73[医药卫生—肿瘤]