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为了调查贲门癌的发病率及与食管癌发病的关系,对河南省食管癌高发区28,139例普查结果和食管癌高、低发区13个医院21,721例胃镜检查资料进行了分析。普查中贲门癌的检出率为190/10万。在食管癌高、低发区13个医院胃镜检查资料中,贲门癌检出率分别为5.12%和3.57%(P<0.01)。无论高、低发区,贲门癌均显著高于胃窦癌。本文报道79例早期贲门癌的内镜检查所见,并把早期贲门癌分为充血型、糜烂型、斑块型和息肉型四型。
In order to investigate the incidence of cardia cancer and the relationship with esophageal cancer, data from 28,139 surveys in high incidence areas of esophageal cancer and 21,721 gastroscopy data from 13 hospitals with high and low incidence of esophageal cancer were analyzed. The detection rate of cardia cancer in the census was 190/100,000. In gastroscopic examination data of 13 hospitals with high and low incidence of esophageal cancer, the detection rate of cardiac cancer was 5.12% and 3.57%, respectively (P<0.01). Regardless of the high and low incidence areas, cardiac cancer was significantly higher than that of antral cancer. This article reported the endoscopic findings of 79 cases of early cardiac cancer, and divided the early cardiac cancer into congestive, erosive, plaque and polypoid types.