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我院 1993～1996年共做胃镜检查1 181例,通过胃镜及病理、手术确诊胃癌者43例,发生率3.64‰。1 临床资料1.1 一般资料 43例胃癌患者年龄最大 79岁,最小 30岁,其中35岁以下3例,35岁至50岁8例,50岁以上32例,男性35例占81.4%,女性有8例占18.6%,男女之比1:4。有胃病史者最长30年,最短1年,其中2年以下有10例,2至10年12例,记不清者21例。1.2 症状与体征消瘦10例,呕血8例,腹痛、呕吐、返酸7例(1.62%),腹部包块 6例,黑便 3例。1.3 内镜检查所有患者均在可疑病灶部位取材,28例经内镜首次活检证实为胃癌(41.86%),15例内镜下高度疑为胃癌,而经手术后病理切片也证实为胃癌。
In our hospital from 1993 to 1996, a total of 1 181 gastroscopy cases were performed. 43 cases of gastric cancer were confirmed by gastroscopy, pathology, and surgery, and the incidence was 3.64 ‰. 1 Clinical data 1.1 General information 43 patients with gastric cancer were 79 years old and youngest 30 years old. Among them, 3 were 35 years old, 8 were 35 to 50 years old, 32 were over 50 years old, 35 were males accounted for 81.4%, and 8 were female. Cases account for 18.6%. The ratio between men and women is 1:4. Gastrointestinal history has a history of up to 30 years and the shortest period is 1 year, of which 10 cases are less than 2 years old, 12 cases are 2 to 10 years old, and 21 cases are unclear. 1.2 10 cases of symptoms and signs of weight loss, vomiting in 8 cases, abdominal pain, vomiting, acid reflux in 7 cases (1.62%), abdominal mass in 6 cases, 3 cases of black stool. 1.3 Endoscopic examination All patients were obtained from suspicious lesions. 28 cases were confirmed by endoscopic biopsy as gastric cancer (41.86%). 15 cases were highly suspected as gastric cancer under endoscopy. Pathological sections after surgery were also confirmed as gastric cancer.