摘要
目的胃镜作为临床应用最广泛的消化道疾病检测方法,能尽早发现食道、胃和十二指肠等部位多种病变。本研究分析2014-2018年胃镜检查数据,了解胃部疾病分布情况。方法收集2014-01-01-2018-12-31北部战区总医院带有病理检查报告的门诊和住院胃镜检查患者相关资料,分析其年龄分布、发病部位和胃癌分类。结果共收集病例7094例,其中男3046例,女4048例,女性多于男性,差异有统计学意义,χ2=14.15,P<0.01。最小年龄3岁,最大年龄94岁,病例主要集中在50~59岁,2316例,占32.65%。共检出胃炎2587例,占36.47%,发病部位以胃窦和胃体居多;检出胃溃疡210例,占2.96%,多发于胃窦和胃小弯处;息肉共检出2998例,占42.26%,好发于胃底和胃体;检出胃癌532例,占7.50%,在胃窦和胃体处多见;共检出上皮内瘤变705例,占9.94%,以胃窦和胃体处常见。共检出胃癌532例,占全部检查病例的7.50%;胃癌患者以男性为主,占69.17%,女性占30.83%。筛查出胃癌以腺癌为主,共511例,占96.05%,其次是类癌13例(2.44%)、鳞癌7例(1.32%)和腺鳞癌1例(0.19%)。各类型胃癌中,男性检出病例数均多于女性,主要集中在60~69岁。结论胃镜检查患者中,恶性病变检出率比例较高,男性多于女性,各类型胃癌检出率均高于女性,且发病年龄较高。
OBJECTIVE As the most widely used method for the detection of gastrointestinal diseases,gastroscopy can detect a variety of lesions in the esophagus,stomach,duodenum and other areas as early as possible.This study will analyze the gastroscopy data from 2014 to 2018 to understand the distribution of gastric diseases.METHODS Collect the relevant data of outpatient and inpatient gastroscopy patients with pathological examination report from January 1,2014 to December 31,2018 in Northern Hospital General Hospital,and analyze their age distribution,disease location and gastric cancer classification.RESULTS A total of 7094 cases were collected,including 3046 males and 4048 females.There were more females than males,and the difference was statistically significant,χ2=14.15,P<0.01.The youngest was 3 years old and the oldest was 94 years old.The cases were mainly concentrated in the 50-59 age group,with 2316 cases,accounting for 32.65%.A total of 2587 cases of gastritis were detected,accounting for 36.47%,with the gastric antrum and gastric body being the most common disease sites;210 cases of gastric ulcers were detected,accounting for2.96%,and they were more common in the gastric antrum and small gastric curvature;Accounted for 42.26%,occurred in the fundus and stomach body;532 cases of gastric cancer were detected,accounting for 7.50%,more common in the gastric antrum and gastric body;a total of 705 cases of intraepithelial neoplasia were detected,accounting for 9.94%,with gastric antrum and stomach body common.A total of 532 cases of gastric cancer were detected,accounting for7.50%of all cases examined.Gastric cancer patients are mainly males,accounting for 69.17%,and females,accounting for 30.83%.Screening showed that gastric cancer was mainly adenocarcinoma,with a total of 511 cases,accounting for96.05%,followed by 13 carcinoid tumors,accounting for 2.44%;7 cases of squamous cell carcinoma,accounting for1.32%;1 case of adenosquamous carcinoma,accounting for 0.19%.Among all types of gastric cancer,more cases were de
作者
商家炜
明健
SHANG Jia-wei;MING Jian(Department of Pathology,Northern Hospital General Hospital,Shenyang 110016,P.R.China)
出处
《社区医学杂志》
2020年第11期771-774,共4页
Journal Of Community Medicine
基金
2017-2019年辽宁省科学技术计划(20170540908)。
关键词
胃镜
胃炎
发病部位
胃癌
年龄
筛查
gastroscopy
gastritis
onset site
gastric cancer
age
screening
