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目的了解胃镜胃癌检出率,并对胃癌相关因素进行分析。方法对2008年至2010年在我院经胃镜并经病理诊断为胃癌患者的临床资料进行回顾性分析。结果本组确诊为胃癌的病例670例,检出率为5.21%,其中40岁以上628例(93.73%),男女之比为3.86∶1。670例胃癌患者中,常食咸菜、腌制食品及高盐饮食者670例、占100%,吸烟360例,占53.73%,长期饮酒237例,占35.37%。本组胃癌检出部位依次为胃窦373例(55.67%),贲门140例(20.90%),胃体112例(16.72%),全胃或大部分胃45例(6.72%)。本组胃癌中幽门螺杆菌(Hp)阳性406例,阳性率60.60%。结论胃癌胃镜检出率及Hp感染阳性率高,好发于胃窦部,40岁以上的中老年人占绝大多数,男性明显多于女性。根除Hp,少食咸菜、腌制食品,戒烟限酒,可有效减少胃癌的发生。
Objective To understand the detection rate of gastroscopic gastric cancer and to analyze the related factors of gastric cancer. Methods The clinical data of patients with gastric cancer diagnosed by gastroscope and pathologically diagnosed in our hospital from 2008 to 2010 were retrospectively analyzed. Results The group of 670 cases diagnosed as gastric cancer, the detection rate was 5.21%, of which 628 cases (93.73%) over the age of 40, the ratio of men to women was 3.86: 1.6670 cases of gastric cancer patients, pickles, pickled foods and High-salt diet 670 cases, accounting for 100%, smoking 360 cases, accounting for 53.73%, long-term drinking 237 cases, accounting for 35.37%. In this group, 373 (55.67%) were gastric antrums, 140 (20.90%) were gastric antrums, 112 (16.72%) were gastric bodies, and 45 (6.72%) were all or most of the stomach. The group of gastric cancer Helicobacter pylori (Hp) positive in 406 cases, the positive rate of 60.60%. Conclusion The detection rate of gastroscopy and the positive rate of Hp infection in gastric cancer are high, occur in the antrum, 40 years old and over the majority of middle-aged and elderly, male significantly more than women. Eradication of Hp, Eat pickles, pickled foods, quit smoking limit alcohol, can effectively reduce the incidence of gastric cancer.