桂西少数民族地区332例胃癌内镜病理分析

目的：探讨胃癌的内镜及病理特点。方法：回顾性分析本院经胃镜检查并经病理确诊的胃癌患者临床资料。结果：胃癌检出率为1.4％（332/23545），男女之比为2.8：1。BorrmannⅢ型胃癌最常见，发病部位以胃窦为主，占46.7％。组织学类型以高分化腺癌占大多数。病理特点在各年龄组及不同性别之间有明显差异（P＜0.05）。结论：本地区胃癌以中老年为主，年龄、性别与胃癌的内镜分型、组织学类型及癌细胞分化程度有关，对不同类型的病人应根据其内镜及病理特点提高胃癌的检出率。

Analysis on endoscopic and pathologic characteristics in 332 cases of gastric cancer in Guixi minority region

Objective：To investigate the endoscopic and pathologic characteristics of gastric cancer. Methods：Retrospective analysis of 332 gastric cancer patients diagnosed by endoscopic and histological exam was performed. Results：The detection rate of gastric cancer was 1 . 4%（ 3 3 2/2 3 5 4 5 ）and the ratio of male and female patients was 2. 8：1. Borrmann III type gastric cancer was most common. The antrum was the main site of disease onset,ac-counted for 46. 7%. Regarding pathologic type,the majority of gastric cancers were high differentiation adenocarcino-ma. Pathological characteristics in different age groups and different gender were obvious different（P〈0. 05）. Con-clusion：A prevalence of gastric cancer is found in middle,elderly patients. Age,gender are related to the gastric endo-scopic classification,histological type and the degree differentiation of cancer cells. We should improve the detection rate of gastric cancer based on the endoscopic and pathological characteristics for different types of patients.