1294例胃癌的临床病理分析

Clinical and pathologic characteristics of gastric cancer:a retrospective study of 1294 patients

目的探讨胃癌的临床及病理特点。方法回顾性分析本院经胃镜检查并病理确诊的胃癌患者的临床资料。结果 15年来胃镜胃癌的总检出率为1.11%(1294/116327),年检出率无明显变化,但是年发病人数呈递增趋势。男女之比为2.02∶1。青年组(≤44岁)中女性胃癌占47.58%,胃窦部癌占44.93%,贲门及胃底癌占7.49%;老年组(≥60岁)中女性胃癌占28.55%,胃窦部癌占47.15%,贲门及胃底癌占18.97%。2组比较有显著性差异(P<0.05)。结论本地区胃癌发病率无明显变化。随着年龄增长,胃癌发病率逐渐上升,贲门及胃底癌比例也显著升高。因此对于老年病人尤其要注意其贲门及胃底部位的检查。

Objective To investigate the clinical and pathologic characteristics of gastric cancer.Methods A retrospective study of 1 294 gastric cancer patients diagnosed by endoscopic and histological studies.Results Total detected rate was 1.11%（1294/116327） in 15 years.The detected rate of gastric cancer per year had not changed significantly,but the number of the patients was growing.The ratio of male and female patients was 2.02：1.In younggroup（≤44 year old） female accounted for 47.58%.The antrum and fundus cardiac carcinoma accounted for 44.93% and 7.49% respectively.In old group（≥60 year old） female accounted for 28.55%.The antrum and fundus cardiac carcinoma accounted for 47.15% and 18.97% respectively.Comparison of the two groups it showed that there was asignificant difference（P0.05）.Conclusion The detected rate of the gastric cancer had not changed in this area.With age,the rate of gastric cancer was increasing and there was a rising rate of the incidence in fundus cardiac carcinoma.So,we should pay more attention for the fundus cardiac carcinoma of the old.