【作者】 孔桂香；

【导师】 黄晓俊；

【作者基本信息】 兰州大学 ， 消化系病， 2011， 硕士

【摘要】 目的：通过对甘肃省胃癌高发区(河西地区)36所二级以上医院33年经内镜检出胃癌患者资料进行统计,分析我省胃癌高发区河西五地市胃癌的检出率、患者性别、年龄、发病部位、病理组织学类型及区域分布等流行病学特点,探讨我省胃癌高发区胃癌的流行趋势及影响因素,为该疾病的预防和控制提供科学的依据。方法：选择自1977年1月至2009年12月甘肃省河西五地市36所医院胃镜检查并经病理确实的胃癌患者的病例资料,应用描述流行病学方法,逐年统计各医院的胃镜检查人数、胃镜检出胃癌人数、病理确诊人数,分别对性别、年龄、发病部位、病理诊断、患者来源区域、检查时间等进行统计学分析。结果：33年来甘肃省胃癌高发区(河西地区)胃癌总检出率为5.57%,呈逐年下降趋势。胃癌高发于50～69岁,男性多见,好发于贲门、胃体及胃窦部,且以腺癌为主,其中低分化腺癌所占比例较高(35.04%),检出率武威地区最高(6.39%)。其中早期胃癌有206例,占胃癌总数的1.17%。结论：甘肃省胃癌高发区(河西地区)胃癌检出率呈逐年下降趋势,男性显著高于女性,发病年龄高峰集中于50-69岁,发病部位中胃体癌所占比例最高,且以低分化腺癌为主,早期胃癌检出率低,在当地开展胃癌早期防治意义重大。更多还原

【Abstract】 Objective:To investigate the clinical epidemiological characteristics of gastric carninoma and its trend during the past 33 years in Hexi Corridol,Gansu province.Method:Patients with gastric carcinoma,detected by endoscopy and pathologically diagnosed from 1977.1 to 2009.12 were selected.The main clinical data, epidemiologyical, endoscopic manifestation and the pathological characteristics were studied. Results:The overall diagnosis rate of gratric carcinoma was 5.57% in the past 33 years. The predominant age rangde from 50 to 69 years old, with the majority being the men, and the gastric carcinoma mainly occurred in the cardia,body and sinus.The adenocarcinoma taked large part and the percentage of low adenocarcinoma is high about 38.88%. The hightest rate of detection was Wuwei(6.39%). Conclusions:The diagnosis rate of gratric carcinoma in Hosi Corridol during the past 33 years had the significant falling trend. The men patients was apparently much more than women, the predominant age rangde from 50 to 69 years old, the gastric carcrnoma occurred most freaquently in the gastric body, and the low adenocarcinoma took high proportion. The diagnosis rate of early gratric carcinoma was very low, therefore,early prevention and control work for this diease has great significance.更多还原