| 栾宝庆,胡玉敏,王艳萍,赵大伟.对住院病人中胃癌患者的回顾性调查[J].Chinese journal of Epidemiology,1989,10(3):149-153 |
| 对住院病人中胃癌患者的回顾性调查 |
| A Retrospective Investigation of Patients with Gastric Cancer in Ward Patients |
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| DOI： |
| KeyWord: 胃癌 |
| English Key Word: Gastric Cancer |
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| Abstract: |
| 综合性医院181 055例住院病人中1079例胃癌患者的调查结果:胃癌患者占住院病人总数的0.59%,其中进行癌与早欺癌分别占胃癌总数的98.24%与1.76%。男女之比约6:1。胃癌的多发年龄范围为40~70岁,多发年龄高峰是50~60岁。入院前病程1年以上者多有胃病史。早期癌病理回顾:有溃疡癌变者占早期癌总数的78.94%。胃癌病变的分布、癌灶大小、数目、大体分型等与有关文献相比不尽相同。常规法,低张双重法,内窥镜法对进行癌的病变发现率与诊断正确率相似,经统计学处理:P值均大于0.05,即无显著差异。多相胃肠造影技术相结合,胃肠造影与内窥镜相结合,具有互相印证补偿作用。此外,在上述调查结果的基础上,还就在现有的医疗设备等条件下提高胃癌的诊断准确性做了有关的扼要探讨。 |
| English Abstract: |
| A retrospective investigation of 1 079 patients with gastric cancer among 181 055 patients in a general hospital showed that 0.59%of all the werd patients suffered from gastric cancer (6:1, male preponderate), with the age ranging foom 41-70, and the peak age was between 50-60. Most (98.24%) were progressive, oth rs (1.76%) were early gastric cancers Many of the patients with clinical courses over 1 year before hospitalization hed histories of gastropathy. Pathological examination of the early gastric cancers showed that the cancers in 15 (78.94%) out of 19 patients were due to malignant change of ulcers. However, our results were not quite similar to previous reports in the distribution, limit, number and microscopic classification of the lesions. There was no obvious discrepaney in lesion display and diagnostic accuracy among the three methods, e.g., regalar examination, double contrast examination, and the endoscopy examination (P>0.05).The accuracg of diagnosis might be improved by using multiple examinations of stomach and combination of gastrointestinal examination with endoscopy. |
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