胃镜在健康体检人群胃早癌及癌前疾病筛查中的临床意义

Clinical Significance of Gastroscopy in Screening Early Gastric Cancer and Precancerous Diseases of Healthy Examination People

目的:分析在健康体检人群胃早癌及癌前疾病筛查工作中应用胃镜的价值。方法:选取2018年2月-2021年3月接受健康查体者60例,设为观察组;将同期由于消化道相关症状接受检查的患者60例,设为对照组。两组均使用胃镜检查,比较检查结果。结果:观察组胃溃疡、慢性萎缩性胃炎、胃癌的检出率明显高于对照组,差异有统计学意义(P<0.05)。胃溃疡、慢性萎缩性胃炎和胃癌患者,男性明显比女性多;慢性萎缩性胃炎、胃溃疡疾病发生率均会随患者的年龄增长而增高,差异有统计学意义(P<0.05)。结论:健康人群经胃镜体检后胃早癌检出率明显提高,继而开展组织活检工作,可为疾病病情发展程度及预后的评估工作发挥指导意义。

Objective:To analyze the value of gastroscopy in screening early gastric cancer and precancerous diseases in healthy examination people.Methods:Sixty patients who received physical examination from February 2018 to March 2021 were selected as the observation group.Sixty patients who were examined for gastrointestinal symptoms during the same period were set as the control group.Gastroscopy was used for the patients in two groups,and the results of gastroscopy were compared.Results:The detection rates of gastric ulcer,chronic atrophic gastritis and gastric cancer in the observation group were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).For gastric ulcer,chronic atrophic gastritis and gastric cancer patients,there were significantly more male cases than female cases;The incidence of chronic atrophic gastritis and gastric ulcer disease increased with the age of patients,and the difference was statistically significant(P<0.05).Conclusion:The detection rate of early gastric cancer in healthy people after gastroscopy examination is significantly increased,followed by tissue biopsy,which can play a guiding role in the evaluation of disease progression and prognosis.