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[目的]探讨甘肃省近30年间经内镜检出食管癌的临床流行病特点。[方法]选择甘肃省163所医院30年间胃镜检查并经病理确诊的食管癌患者的病历资料,对其主要的内镜下改变、临床及组织学特点进行回顾性分析。[结果]30年来甘肃省食管癌总检出率为1.63%,食管癌高发于50～69岁,男性多见,以鳞癌为主(93.47%),好发于食管中段(54.78%);检出率武威市最高(5.03%)。[结论]甘肃省食管癌以鳞癌为主,腺癌无明显上升趋势。食管腺癌好发于食管下段,而鳞癌多发于食管中上段。检出率以武威地区最高,在当地开展食管癌早期防治工作意义重大。
[Objective] To investigate the clinical epidemiological characteristics of esophageal cancer detected by endoscopy in Gansu Province in recent 30 years. [Method] The data of medical records of esophageal cancer patients who underwent gastroscopy and pathology in the past 30 years in Gansu Province were retrospectively analyzed. The main endoscopic changes, clinical features and histological features were analyzed. [Results] The total detection rate of esophageal cancer in Gansu Province was 1.63% in 30 years. The incidence of esophageal cancer was 50 ~ 69 years old. The incidence of esophageal cancer was more common in males than in middle esophagus (93.47%) and moderate in esophagus (54.78%). The highest detection rate of Wuwei City (5.03%). [Conclusion] Squamous cell carcinoma of esophageal cancer in Gansu Province is the mainstay, but no obvious upward trend of adenocarcinoma. Esophageal adenocarcinoma occurs in the lower esophagus, while squamous cell carcinoma occurs in the upper esophagus. The detection rate is the highest in Wuwei area, so it is of great significance to carry out the early prevention and treatment of esophageal cancer in the local area.