胃癌442例临床分析

GASTRIC CANCER. AN ANALYSIS OF 442 CASES

我院从1977年至上1990年中经钡餐、纤维内镜检查,手术诊断为胃癌的住院患者共442例。其中有病理组织学记载者384例。442例中能手术治疗者有315例,占71.3％。其余28.7％的患者属癌症晚期,只能采取内科保守或支持疗法。现综合分析报告如下:

This paper reported 442 patients with gastric cancer who were admitted from January, 1977 to December, 1990. These patients were diagnosed by barium meal, endoscope or operation. Their clinical data including the sex, age,location of cancers,pathological diagnosis, diagnostic methods and the main clinical manifestation were summated and analyzed. The results showed that gastric cancer was seen mostly in the middle-aged people, the male patients were more than the female ones, the locations of cancers were mainly found at the gastric antrums, the adenocarcinoma was the predominent type of cancers, the ratio of undifferentiated carcinoma was significantly higher in female than in male( P<0.01 ) . The ratio of undifferentiated carcinoma was higher in the younger group than in the middle-aged group and the main clinical manifestations were stomachache, tabes, anemia and melena. In order to improve cor-rectic diagnostic rates, the author suggests that close attention to the incipient main clinical manifestations should be paid.