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目的探索西藏拉萨地区早期胃癌筛查情况。方法 2015年6-8月在拉萨市城关区4个乡镇农牧民筛选高危人群,并在西藏自治区人民医院消化内镜中心通过胃镜和病理组织检查开展胃癌早癌筛查。结果胃镜检查247例人群,病理活组织检查169例,其中发现早期胃癌2例,胃癌癌前疾病包括低级别上皮内肿瘤12例、胃粘膜萎缩20例、胃粘膜肠化4例、胃粘膜萎缩伴肠化52例,胃息肉2例。结论通过胃镜筛查是发现早期胃癌、各种癌前疾病及病变的重要手段,建议在西藏高原地区进一步推广应用。
Objective To explore the screening of early gastric cancer in Lhasa, Tibet. Methods From June to August 2015, 4 townships and townspeople in Chengguan District of Lhasa City were screened for high-risk groups. Gastric cancer and pathological examination were performed in the Digestive Endoscopy Center of People’s Hospital of Tibet Autonomous Region for early cancer screening. Results There were 247 cases of gastroscopy and 169 cases of pathological biopsy. There were 2 cases of early gastric cancer, including 12 cases of low-grade intraepithelial neoplasia, 20 cases of gastric mucosal atrophy, 4 cases of gastric mucosal intestinal metaplasia, gastric mucosal atrophy With intestinal metaplasia in 52 cases, 2 cases of gastric polyps. Conclusion Endoscopy screening is an important means to detect early gastric cancer, various precancerous diseases and pathological changes. It is recommended to further promote the application in the Tibetan Plateau.