用隐血珠初筛、胃镜普查上消化道早期癌的初步探讨

HEMOCCULT TEST BEAD FOR SCREENING AND GASTROFIBRoSCOPE FOR EXAMINING EARLY UPPER DIGESTIVE TRACT CANCER

胃内微量出血是上消化道早期癌的表现之一,我们用秦氏隐血珠在上消化道癌高发区扬中县初筛普查24712人(不含复查1549人)重点对强阳性人群做胃镜检查。2658人胃镜检查后,101人经病理活检确诊为癌。癌检出率为3.8％,在县医院手术59人,71.18％属早期癌,同时性别、年龄也是影响检出率的因素。

Hemoccult Test Bead is able to tell whether or not there is occult blood in the stomach juice. 24712 normal persons (35—75 in age) were screened by Oin's Hemoccult Test Bead in the high-risk area, Yang Zhong County. 2658 positive persons were detected by gastrofibroseope, 101 of them (3.8％) were diagnosed as the cancer by biopsy specimen. 59 persons were performed in our hospital. 42 (71.8％) discoeered to havre cancer were considered to be in early stages. The cancer detection rate is influenced by sex, age and degree of positivity.