萎缩性胃炎与胃癌前病变诊疗研究的关键问题及其对策

Diagnosis and treatment of atrophic gastritis and gastric precancerous lesions:key issues and countermeasures

胃癌防治是我国恶性肿瘤防控面临的巨大挑战,探索出具有中国特色、流程合理、疗效明确的防治方案是解决问题的关键。萎缩性胃炎和癌前病变的存在为早诊、早治提供了可能,是胃癌二级预防工作体系的重心。40多年来,中医药在萎缩性胃炎和胃癌前病变的临床诊疗、基础研究、风险监测等方面取得了不少成绩,但也存在一定不足。本文对萎缩性胃炎及胃癌前病变的中医药研究历程进行回顾,对在的问题提出应对策略及对未来的发展进行展望,以期为建设有中国特色的胃癌二级防治体系提供参考。

Gastric cancer is a major challenge when it comes to preventing and controlling malignant tumors in China. The existence of atrophic gastritis and precancerous lesions provides the possibility for early diagnosis and treatment, and is the focus of secondary prevention of gastric cancer. During the past 40 years, Chinese Medicine research has made some significant achievements regarding the diagnosis, treatment, and prevention of atrophic gastritis and gastric precancerous lesions;however, deficiencies still exsit. This article reviews the history of Traditional Chinese Medicine research on atrophic gastritis and precancerous lesions, puts forward the strategies to deal with the existent problems and points out the future development, in order to provide reference for the construction of the secondary prevention and treatment system of gastric cancer with Chinese characteristics.