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目的:了解青海地区胃癌发病的临床特点及病理类型、病变部位、组织学等方面特征。方法:总结近10年经胃镜诊断并病检或/和手术确诊的胃癌患者3 537例胃癌患者,分男女组进行对照分析。结果:10年间胃癌总检出率8.49%,其中,男性检出率10.8%,女性检出率为4.9%,男女在不同年龄段胃癌检出率、不同职业间男女检出率有显著性差别,P<0.001,男女胃癌在病变部位、内镜Borrman分型、癌组织学类型方面均有显著性差别,P<0.001。结论:本地区胃癌检出率逐渐下降,但仍然是胃癌高发地区,且青、老年胃癌检出率逐渐上升。检出胃癌大多数以分化程度低、恶性程度高、广泛浸润为特点。
Objective: To understand the clinical features of gastric cancer in Qinghai and pathological types, lesions, histology and other aspects. Methods: To summarize 3 537 cases of gastric cancer diagnosed by gastroscopy and diagnosed by pathology and / or surgery in recent 10 years. Results: The overall detection rate of gastric cancer was 8.49% in 10 years, of which the detection rate was 10.8% for males and 4.9% for females, the detection rate of gastric cancer between men and women was significantly different between men and women in different occupations , P <0.001. There was a significant difference in gastric cancer between male and female patients with lesions, endoscopic Borrman classification, and histological types (P <0.001). Conclusion: The detection rate of gastric cancer in this area is gradually decreasing, but it is still the area with high incidence of gastric cancer, and the detection rate of gastric cancer in young and old is gradually increasing. Most of the detected gastric cancer with low degree of differentiation, high degree of malignancy, characterized by extensive infiltration.