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目的探讨喀什地区维吾尔族和汉族胃癌的发病特点。方法回顾性分析443例经电子胃镜检查病理确诊的胃癌资料。结果维汉两族检出率分别为12.76%,3.58%(P<0.005);维族男∶女≈4.32∶1,汉族为3.38∶1,发病年龄维族(55.55±11.04)岁,汉族(57.68±11.51)岁,维族以51 ̄60岁居多占34.76%,汉族61 ̄70岁居多占39.13%,发病高峰年龄维族较汉族提前。侵及两个部位以上的广泛癌维族占21.37%,汉族占9.78%(P<0.025);维族胃底贲门癌占58.46%,汉族占37.97%(P<0.005)。维族胃癌以农民居多占90.31%,汉族为41.30%(P<0.005)。结论维族较汉族好发胃癌,较汉族更易患胃底贲门癌,发病高峰年龄较汉族提前。
Objective To investigate the characteristics of gastric cancer in Uygur and Han nationalities in Kashi region. Methods A retrospective analysis of 443 cases of gastric cancer confirmed by electronic gastroscopy confirmed pathological data. Results The detection rates of the two groups were 12.76% and 3.58% respectively (P<0.005); Uygur males: females 4.32:1, Hans 3.38:1, age of onset Uyghurs (55.55±11.04) years, and Hans (57.68±). At the age of 11.51 years, the Uygurs accounted for 34.76% at the age of 51-60, and the Hans accounted for 39.13% at the age of 61-70. The peak age of the Uygurs was earlier than the Hans. The proportion of cancer-bearing Uyghurs that invaded more than two sites accounted for 21.37%, and the Han nationality accounted for 9.78% (P<0.025); Uighur gastric cardia cancer accounted for 58.46%; Han nationality accounted for 37.97% (P<0.005). Uygur population accounted for 90.31% of the total number of farmers with gastric cancer and 41.30% of the Han nationality (P<0.005). Conclusion The Uygurs had better gastric cancer than the Hans and were more prone to gastric cardia cancer than the Hans. The onset peak age was earlier than that of the Han.