631例胃镜诊断食管腺癌食管鳞癌的对比分析

CONTRAST ANALYSIS OF ESOPHAGEAL ADENOCARCINOMA AND SQUAMOUS CANCER

目的 :了解食管腺癌和食管鳞癌的异同点 ,加深对食管腺癌的认识。方法 :对 6 31例经胃镜诊断的食管腺癌和食管鳞癌 ,就其发生率、好发年龄、男女比、主诉、发病部位和内镜下分型进行比较分析。结果 :食管腺癌和食管鳞癌占食管癌的百分比分别为 :6 .5 0 %、93.5 0 %。食管腺癌和食管鳞癌在食管下段的发生率分别为 :6 5 .9%、2 9.7% (P <0 .0 1)。结论 :食管腺癌有增加趋势 ,但我国食管癌仍以食管鳞癌为主 (93.5 % ) ;食管腺癌好发于食管下段 。

Objective:The purpose of this report was to contrast esophageal adenocarcinoma and squamous cancer.Methods:We reivewed the records of 631 patients with esophageal neoplasm diagnosed from 1989 to 2000.Patients were divided into two groups.The incidence of a disease,age,sex,chief complaint and tumor site were compared.Results:The incidence of the adenocarcinoma and squamous cancer in the lower of esophageal were 65.9% and 29.7% ( P<0.01 ).Conclusions:Esophageal adenocarcinoma occurred most frequently in the lower,but esophageal squamous cancer occurred most frequently in the lower,but esophageal squamous cancer occurred most freaquently in the middle or upper.