摘要
目的为胃肠道恶性肿瘤的临床流行病学等研究提供基本资料。方法对1998年1月至2007年12月间黑龙江省15家医院收治的胃肠道恶性肿瘤病例资料进行回顾性分析。结果具有完整的胃癌和结直肠癌病例资料者共计33540例．来自其中12家医院。胃癌占45．8％．直肠癌与结肠癌例数相近。右半结肠癌多于左半结肠癌为1.3：1．0．尤其80岁以上年龄组其比例为2．1：1．0。30岁以下结直肠癌例数仅占全部结直肠癌的1.3％。50～70岁者在进展期胃癌、结肠癌和直肠癌患者中分别占70．6％、73．4％和72．4％。早期胃癌中的高、中分化腺癌占49．7％；结直肠癌中的高一中分化腺癌占74．4％～85．1％。早期胃癌予以根治性手术切除者占69．1％：进展期胃癌占79．9％；左半结肠癌占91．9％；右半结肠癌占83．9％；直肠癌占88．3％。结论黑龙江省胃肠道恶性肿瘤发病的高峰年龄段是50～70岁：以胃癌最常见：根治性手术切除是主要治疗方式。
Objective To provide basic information for epidemiological research of gastrointestinal （GI） malignant tumors. Methods Data of GI cancer diagnosed in 15 hospitals of Heilongjiang province between January 1998 and December 2007 were analyzed retrospectively. The data mainly involved the age of onset, initial symptoms, pathological types, clinical staging and types of surgical procedure. Results Gastric cancer was the most common type（45.8%） among the 33 540 GI cancer cases, then were rectal cancer（27.3%） and colon cancer（26.8%）. Right colon cancer cases were more common than the left ones （ 1.3：1.0）, particularly in people over 80 （2.1：1.0）. Only 1.3% of colorectal cancer could be found in age under 30 years old. In patients aged 50 to 70, advanced gastric cancer accounted for 70.6%, advanced colon cancer 73.4% and advanced rectal cancer 72.4%. Well-moderately differentiated adenoearcinoma in early gastric cancer was 49.7%, early colon cancer 77.3% and rectal cancer 83.2%. Patients undergone radical excision in early gastric cancer accounted for 69.1% , advanced gastric cancer 79.9% , left colon cancer 91.9%, right colon cancer 83.9% and in rectal cancer for 88.3%. Conclusions People aged 50 to 70 tend to get GI cancer in Heilongjiang province. Gastric cancer is the most common GI cancer. Radical excision is the main choice of therapy.
出处
《中华胃肠外科杂志》
CAS
北大核心
2009年第6期577-580,共4页
Chinese Journal of Gastrointestinal Surgery
关键词
胃肠道肿瘤
流行病学
临床病理学
黑龙江省
Gastrointestinal neoplasms
Epidemiology
Clinical pathology
Heilongjiang province
