| 张雪梅 高峰 刘兴 艾合买提江·库尔班 丁努·玉素甫江 徐杰.新疆维吾尔自治区20 年间胃癌的临床特点分析[J].,2014,14(1):136-139 |
| 新疆维吾尔自治区20 年间胃癌的临床特点分析 |
| Clinical Charateristics of Gastric Carcinoma of Xinjiang UygurAutonomous Region over the Past Twenty Years |
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| DOI： |
| 中文关键词: 胃癌 临床特点 趋势 新疆维吾尔自治区 |
| 英文关键词: Gastric carcinoma Clinical characteristics Trends Xinjiang Uygur Autonomous Region |
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| 中文摘要: |
| 目的：分析新疆地区近20 年来胃癌流行病学特征，探讨其变化规律及发展趋势。方法：回顾性分析和比较1991 年、2001 年、
2011 年经新疆维吾自治区人民医院胃镜及病理学诊断确诊为胃癌的病例的一般资料、病理学及内镜下特点，包括性别、年龄、病
理类型、发病部位。结果：1991 年组：胃癌检出率为2.48%，中位年龄为54 岁，男女之比为3.3:1.0，发病部位以胃窦部癌为主，占
39.1%；2001 年组：检出率为2.39%，中位年龄为61 岁，男女之比为3.0:1.0，发病部位以胃体部癌为主，占42.1%；2011 年组：检出
率为1.48%，中位年龄为63 岁，男女之比为3.9:1.0，发病部位以贲门胃底部为主，占34.8%。三组病理学类型均以腺癌为主，检出
率有逐年升高趋势，但差异无统计学意义(P>0.05)。结论：(1)近20 年来胃癌发病部位有上移现象，且胃癌检发病率有下降趋势；
(2)男性胃癌患者发病率明显高于女性，且近20 年来胃癌患者男女比例无明显改变；(3)近20 年来胃癌发病中位年龄逐渐增高，且
随着年龄的增长发病率逐渐升高，以中老年发病率最高；(4)癌患者病理类型仍以腺癌为主，且近20 年来腺癌所占比例无明显变
化。 |
| 英文摘要: |
| Objective: To analyze the clinical charateristics of gastric carcinoma of Xinjiang Uygur Autonomous Region over the
past twenty years, and investigate its variation and development tendency .Methods: The data of gastric cancers confirmed by
gastroscope and pathology in 1991, 2001 and 2011 in the People's Hospital of Xinjiang Uygur Autonomous Region were analyzed,
including the gender, age, pathologic type, pathogenic site, etc. Results: 1991 groups: the detection rate of gastric cancer was 2.48%, the
median age was 54 years old, the male-to-female ratio was 3.3:1, and had a higher incidence in gastric antrum,accounting for 39.1%;
2001 groups: the detection rate of gastric cancer was 2.39%, the median age was 61 years old,the male-to-female ratio was 3.0:1.0, and
had a higher incidence in corpus,accounting for 42.1%; 2011 groups: the detection rate of gastric cancer was 1.48%, the median age was
63 years old,the male-to-female ratio was 3.9:1.0, and had a higher incidence in gastrocardiac carcinoma, accounting for 34.8% .
Adenocarcinoma was the main histological type, and the detection rate was increasing trend,but the difference was not statistically
significant (P>0.05).Conclusion: (1) The pathogenetic sites of gastric carcinoma had moved up, and the detection rate had declined in the
past twenty years; (2)The male had a higher incidence rate than female, and the male-to-female ratio was not changed significantly. (3) The
mean age of gastriccarcoinisma moved up, and with the increase of age, the incidence rate of gastric carcinoma rised, and old male
had a higher incidence rate in the past twenty years; (4) adenocarcinoma had a higher incidence rate, and the percentage of
adenocarcinoma was not changed significantly in the past twenty years. |
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