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目的探讨胃癌临床病理特征。方法选择1062例有完整资料的胃癌手术病例,按临床病理特征分类统计,使用SPSS软件统计分析。结果通过对1062例胃癌手术病例分析得到:(1)各年龄段总平均,男:女比例率为2.2∶1。年龄≤35岁组,男性胃癌发病率低于女性。年龄≥35岁组,男性胃癌发病率高于女性。(2)胃癌的好发部位为胃小弯近窦部,其次是贲门部。(3)BorrmannⅡ、Ⅲ最多,两者之和占总病例的81.1%。(4)胃癌以中分化和低分化多见,分别为30.4%和53.9%。(5)胃癌体积,本组以小于3cm、3～5cm和5～7cm分为3组,分别占21.1%、45.7%、19.8%。(6)本组病例中,365例浸及肌层占34.3%;491例浸透浆膜,占46.2%。(7)组织学类型,管状腺癌(包括高、中、低分化腺癌)798例,占75.1%,其次为未分化癌、印戒细胞癌和粘液腺癌。结论掌握胃癌临床病理特征,特别是胃癌的浸润深度和胃癌体积大小,为合理地治疗胃癌提供理论依据。
Objective To investigate the clinicopathological features of gastric cancer. Methods A total of 1062 gastric cancer cases with complete data were selected and classified according to the clinical and pathological features. SPSS software was used for statistical analysis. Results 1062 cases of gastric cancer surgery cases were analyzed: (1) The total average age, male: female ratio was 2.2: 1. Age ≤ 35 years old group, the incidence of gastric cancer in men than women. The age of 35 years old group, the incidence of gastric cancer in men than women. (2) The predilection site for gastric cancer is the lesser curvature of the stomach, followed by the cardia. (3) Borrmann Ⅱ, Ⅲ up, the sum of the two accounted for 81.1% of the total cases. (4) Gastric cancer is more common in moderately differentiated and poorly differentiated, with 30.4% and 53.9% respectively. (5) The volume of gastric cancer, the group is less than 3cm, 3 ~ 5cm and 5 ~ 7cm divided into 3 groups, accounting for 21.1%, 45.7%, 19.8%. (6) In this group of cases, 365 cases of leaching and muscular layer accounted for 34.3%; 491 cases of soaking serosa, accounting for 46.2%. (7) The histological type, 798 cases of tubular adenocarcinoma (including high, moderate, poorly differentiated adenocarcinoma), accounting for 75.1%, followed by undifferentiated carcinoma, signet ring cell carcinoma and mucinous adenocarcinoma. Conclusion Grasp the clinicopathological features of gastric cancer, especially the depth of invasion of gastric cancer and the size of gastric cancer, to provide a theoretical basis for the rational treatment of gastric cancer.