我国胃癌的发病率在世界上不是最高的地区,比不上日本或南美一些国家,也低于欧洲诸国,但它却是我国最常见的恶性肿瘤之一。根据七十年代的调查,我国胃癌的年龄调整死亡率每10万人口男性为20.93,女性为10.16,都居于恶性肿瘤的第一位。恶性肿瘤是我国人口主要死因之一,在男性仅次于呼吸系病,居第二位;在女性又次于心血管病居第三位。因此胃癌是危害我国人民健康的一个重要疾病而应予以更多的重视。目前我国对胃癌的临床诊治水平还不能说是令人满意的。从国内文献资料来看,纤维内窥镜检出的胃癌中,早期胃癌的比例只占7.3%。在大数量病例的分析中,Ⅰ期胃癌也只占根治切除病例中的7.5%,而能得到根治切除的又只占就诊病例的23%。说明我国在胃癌的早诊和早治方面还存在着问题。从远期疗效来看,胃癌切除术后的五年生存率为20.8%,如将姑息 The incidence of gastric cancer in our country is not the highest in the world. It is inferior to some countries in Japan or South America, but also lower than the European countries. But it is one of the most common malignancies in China. According to the survey conducted in the 1970s, the age-adjusted death rate of gastric cancer in our country was 20.93 per 100,000 population of men, and 10.16 per cent of women, all of which were among the top cancers. Malignant tumors are one of the major causes of death in China. They are second only to respiratory diseases in men, and second in women; they rank third in women after cardiovascular disease. Therefore, gastric cancer is an important disease that endangers the health of our people and should be given more attention. At present, the level of clinical diagnosis and treatment of gastric cancer in China cannot be said to be satisfactory. According to domestic literature data, the proportion of early gastric cancer in gastric cancer detected by fiberscope is only 7.3%. In the analysis of a large number of cases, stage I gastric cancer also accounted for only 7.5% of radical resection cases, and only 23% of the cases were able to obtain radical resection. This shows that there are still problems in the early diagnosis and early treatment of gastric cancer in China. From the perspective of long-term efficacy, the five-year survival rate after gastric cancer resection is 20.8%.