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对陕西省肝、胃癌高发区之一的绥德县土地岔乡30发以上自然人群进行抽查,旨在筛选胃癌。受检人数508人,除流行病学、病因学综合调查外,对高度可疑者进行了胃镜、B超及病理学检查。结果:慢性浅表性胃炎230例;慢性萎缩性胃炎87例;胃溃疡1例;胃炎伴肠化生117例;胃炎伴异型增生15例,未检出胃癌。与此同时,对当地居民的生活环境、饮食习惯等进行了宣教、改善。无疑,这对消化道肿瘤的Ⅰ、Ⅱ级预防有一定的意义。
In order to screen gastric cancer, a random survey was conducted on more than 30 natural populations in the land of Luan county, one of the high-incidence areas of liver and stomach cancer in Shaanxi province. The number of people examined was 508. Except for the epidemiological and etiological investigations, highly suspicious persons were examined by gastroscopy, B-ultrasonography, and pathology. Results: There were 230 cases of chronic superficial gastritis, 87 cases of chronic atrophic gastritis, 1 case of gastric ulcer, 117 cases of gastritis with intestinal metaplasia, and 15 cases of gastritis with dysplasia. No gastric cancer was detected. At the same time, the local residents’ living environment and eating habits were educated and improved. Undoubtedly, this has certain significance for the prevention of Class I and II gastrointestinal cancers.