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淮安市666例食管癌的临床、内镜及病理分析
引用本文:马兴刚,黄根牙,张菊,刘树青. 淮安市666例食管癌的临床、内镜及病理分析[J]. 医学综述, 2008, 14(17): 2705-2705,F0003
作者姓名:马兴刚  黄根牙  张菊  刘树青
作者单位:淮安市第二人民医院、徐州医学院附属淮安医院消化内科,江苏,淮安,223002
摘    要:目的了解淮安地区食管癌发病情况。方法回顾性调查11903例胃镜检查中食管癌发现率、临床、内镜及病理情况。结果11903例胃镜检查中发现食管癌666例,胃镜检查发现率为5.60%。666例食管癌按病程分:早期食管癌79例(11.86%),中晚期587例(88.14%);中晚期食管癌587例中肿块型173例,溃疡型64例,肿块浸润型211例,溃疡浸润型41例,弥漫浸润型98例。666例食管癌按部位分:上段癌103(15.47%)例,中上段46例(6.91%),中段308例(46.25%),中下段74例(11.11%),下段132例(19.82%),全段3例(0.45%)。666例食管癌按病理分:鳞状细胞癌636例(95.50%),腺癌21例(3.15%),小细胞未分化癌8例(1.20%),腺鳞癌1例(0.15%)。结论淮安市属于食管癌高发区之一;男女比例1.6:1;好发于中老年人;好发部位以食管中段为主,病例以鳞癌为主;染色胃镜检查有利于提高早期食管癌的发现率。

关 键 词:食管癌  胃镜检查  病理学

Analysis the Feature of Clinic,Endoscope and Pathohistology in 666 Patients with Esophageal Carcinoma
MA Xing-gang,HUANG Gen-ya,ZHANG Jiu,LIU Shu-qing. Analysis the Feature of Clinic,Endoscope and Pathohistology in 666 Patients with Esophageal Carcinoma[J]. Medical Recapitulate, 2008, 14(17): 2705-2705,F0003
Authors:MA Xing-gang  HUANG Gen-ya  ZHANG Jiu  LIU Shu-qing
Affiliation:MA Xing-gang,HUANG Gen-ya,ZHANG Jiu,LIU Shu-qing.(Department of Gastroenterology,the 2nd Hospital of Huai'an,Huai'an 223002,China)
Abstract:Objective To investigate the incidence of esophageal carcinoma(EC) in huai'an district.Methods retrospective study the detection rate and feature of endoscope and pathohistology in 11903 patients.Results The 666 cases of esophageal carcinomas were detected in 11903 patients(positive rate 5.60%).And the 666 cases were divided into early EC(79 cases,11.86%) and advanced EC(587 cases,88.14%) by course of disease.Among them,the phymatoid type was 173 cases(25.98%,173/666),the ulcerating type was 64 cases(9.61%,...
Keywords:Esophageal carcinoma  Gastroscopy  Pathohistology  
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