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目的总结既往胃镜检查资料,寻求发现早期胃癌的诊断方法。方法对近5年的胃镜检查病例进行统计分析,系统回顾。结果5年共检查胃镜6 754例,有276例确诊为胃癌,其中男性198例,女性78例,年龄32～78岁,中位数55岁,276例胃癌患者中青年人58例,中老年218例。早期胃癌5例;胃溃疡恶变17例:Ⅰ型3例,Ⅱb型5例,Ⅱc型3例,Ⅲ型6例;进展期胃癌254例:Borrmann分型Ⅰ型112例,Ⅱ型79例,Ⅲ型42例,Ⅳ型21例。结论早期胃癌检出率低,占检查人数的0.07%,占胃癌总人数的1.8%,绝大多数就诊者为进展期胃癌(254/276)。
Objective To summarize the previous gastroscopy data and to find a diagnostic method for early gastric cancer. Methods The gastroscopy cases in the recent 5 years were analyzed statistically and systematically reviewed. Results A total of 6 754 cases of gastroscopy were examined in 5 years. There were 276 cases diagnosed as gastric cancer, including 198 males and 78 females, ranging in age from 32 to 78 years with a median of 55 years. Among 276 cases of gastric cancer, 58 were young and middle-aged 218 cases. 5 cases of early gastric cancer; gastric ulcer malignant 17 cases: type Ⅰ in 3 cases, type Ⅱ b in 5 cases, type Ⅱ c in 3 cases, type 6 in 6 cases; advanced gastric cancer in 254 cases: Borrmann type Ⅰ in 112 cases, type Ⅱ 79 cases, 42 cases of type Ⅲ, 21 cases of type Ⅳ. Conclusion The detection rate of early gastric cancer is low, accounting for 0.07% of the total, accounting for 1.8% of the total number of gastric cancer. The vast majority of patients are advanced gastric cancer (254/276).