摘要
对上海市9所医院的2000例胃癌前变化进行胃镜随访研究。随访时间:第一部分从1986年1月~1990年3月;第二部分从1986年1月~1993年6月。随访组每6~12个月定期复查胃镜,对照组不进行主动胃镜检查,以积分法观察癌前变化。结果:第一部分随访组胃癌发生率为1.87%(17/909),其中早期胃癌占70.6%(12/17);对照组胃癌发生率为1.25%(9/721),其中早期胃癌占11.1%(1/9)。随访组病理积分从4.25降至2.95。第二部分仅发现1例早期胃癌(1/261)。本研究提示,加强对胃癌高危人群的胃镜随访是早期发现胃癌的有效方法。
collaborative study on the endoscopic
follow-up of 2000 patients with precancerous change from 9 hospitals was carried out in two
settings. The first was from January,1986 to March, 1990 and the second extended from
January,1986 to June,1993.All patients were divided into 2 groups. patients in one group
underwent regular endoscopy every 6-12 months. Those in the other group the control group
were only scoped upon request indicated.The severity of the precancerous change was graded
by scores. The incidence of gastric cancer in the first setting was l.89%(17/909)in the first
group,and l2 of the l7 cases belonged to early gastric cancer (EGC)(70.6%).In the control group
the incidence of gastric cancer wasl.25%(9/721),but EGC was only ll.1%(1/9).Score of the
pathology dropped from 4.25 to 2.95 in the first group. In the second setting only one case of
EGC(1/261) was discovered.It was suggested that endoscopic follow-up of high risk patients
could defect more EGC.
出处
《中华消化杂志》
CAS
CSCD
北大核心
1995年第5期282-284,共3页
Chinese Journal of Digestion
基金
国家"七.五"攻关课题
关键词
癌前变化
胃癌
高危人群
Precancerous change
Gastric cancer
High risk patient.