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食管癌预防措施的初步探讨

Preliminary Assessment of Prophylactic Measures against Esophageal Cancer

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【作者】 张振东张毓德侯浚王风荣裴耀华

【Author】 Zhang Zhen-Dong Ci-Xian County Cancer Institute,Hebei Province

【机构】 河北医学院河北医学院河北省磁县肿瘤研究所

【摘要】 食管癌高发区磁县,自1973年以来采取综合性预防措施后,食管癌的发生与死亡率均有逐年下降趋势。本文重点介绍该县的预防措施及理论依据,初步评价预防的作用,并对其它因素也进行初步探讨,分析治疗与死亡率、人口年龄组成与发生率的关系。

【Abstract】 Since 1973 combined prophylactic measures against esophageal cancer were carried out in Ci-Xian county,Hebei province,an area of high incidence of esophageal can- cer.In 1978 and subsequently there had been a trend of lowered incidence of this dis- ease.The prophylactic measures included(1)amelioration of drinking water including the exposure to sunlight,(2)improvement in storage of foodstuff and prevention from contamination of moulds,(3)dissuasion from eating pickled vegetables in favor of fresh ones,(4)aggressive treatment of precancerous changes in the esophagus.How- ever,the observation period of these prophylactic measures is still short,and further study of their role in prophylaxis is needed.

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