汕头地区居民食管病患者回顾分析1476例

Esophageal disease in Shantouarea:an analysis of 1476 cases

目的:探讨汕头地区居民食管病发病情况及预防治疗策略.方法:回顾性分析1476例经内镜诊断为食管病患者的胃镜、病理、影像学及手术治疗等资料.结果:1476例食管病患者中发生食管癌714例,食管炎445例,食管静脉曲张120例,食管良性狭窄85例,食管黏膜撕裂症46例,食管异物34例,食管憩室23例,食管息肉6例,食管贲门失弛缓症3例.保守治疗840例,内镜治疗124例,手术治疗512例.食管癌患者随访218例,其中手术152例、非手术66例,其1、3年期死亡率分别为40%、90%和95%、100%.食管炎患者康复150例,死亡10例.结论:食管病主要以食管癌与食管炎为主,且食管癌在本地区的发病率较高,增强居民预防食管病的意识,可降低疾病的发生.

AIM： To explore the incidence, prevention and treatment of esophageal diseases in Shantou residents. METHODS： We retrospectively analyzed the data （e.g. gastroscopic findings, pathological results, imaging manifestations and surgical treatments） of 1476 patients endoscopically diagnosed with esophageal diseases. RESULTS： Of the 1476 cases, 714 were diagnosed with esophageal cancer, 455 with esophagitis, 120 with esophageal varices, 85 with benign esophageal stenosis, 46 with esophageal mucosal laceration, 34 with esophageal foreign bodies, 23 with esophageal diverticulum, 6 with esophageal polyps, and 3 with esophageal achalasia. Conservative treatment was performed in 840 cases; endoscopic treatment was used in 124 cases; surgical treatment was achieved in 512 cases. Of the 714 patients with esophageal cancer, 218 cases （152 received operation and 66 with non-surgical treatment） were followed up, and the 1- and 3-year death rates of those with operation or non-operation were 40% and 90%, or 95% and 100%, respectively. Of the cases with esophagitis, 150 recovered while 10 died. CONCLUSION： Esophagitis and esophageal cancer constitute the majority of esophageal diseases. The incidence of esophageal cancer is relatively high in this region, and residents should strengthen the sense of prevention.