【摘要】 目的 :动态观察辉县市人民医院食管和贲门癌收治病人的临床特征 ,加深对该地区食管和贲门癌发病特征和规律的了解。方法 :严格记录辉县市人民医院 17年间 (87～ 0 3年 )食管和贲门癌患者门诊和住院治疗 (手术 )的记录 ,逐年分析其住院治疗患者的人数 ,年龄和性别分布特征和规律。结果 :所有被调查的上消化道肿瘤患者均来自辉县地区。 17年间共收治 40 70例上消化道肿瘤患者 ,其中食管癌患者 2 668例(66% ) ,贲门癌 965例 (2 4% ) ,胃癌 410例 (10 % ) ,男性食管、贲门和胃癌患者明显多于女性 (66% ,76% ,64 %vs .3 4% ,2 4% ,3 6% ) ,贲门癌患者男女比例最高 (3 .3∶1) ,3 0～ 3 9岁年龄组食管癌患者占 3 % ,贲门癌 1%。结论 :食管和贲门癌仍然是该地区最常见的恶性肿瘤 ,男性明显高于女性 ,并有较明显的年轻化趋势。更多还原

【Abstract】 Objective: To characterize the clinical observations on the patients with esophageal squmous cell carcinoma(SCC) and gastric cardia adenocarcinoma(GCA), enrolled from Huixian people’s hospital and to clue the prevalence of SCC and GCA in Huixian area.Methods: To strictly record the clinical data for the patients with SCC and GCA treated in Huixian people’s hospital over 17 years (1987～2003) and to analyze the distribution of these patients by age and sex for each year. Results: All the patients were from Huixian area from 1987 to 2003. Of the patients, there were 4070 cases with upper digestive malignant tumors enrolled in this hospital, including 2668 (66%) cases with SCC, 965 (24%) cases with GCA, and 410(10%)cases with distal stomach cancer.The prevalence of SCC, GCA and distal stomach cancers in male was higher than in females (66%, 76%, and 64% vs. 34%, 24% and 36%), especially in GCA (male : female, 3.3∶1). The detection rate of SCC and GCA in the age group of 30 to 39 was 3% and 1%, respectively.Conclusion: The SCC and GCA remain the most fre-quent malignant in this area, the prevalence in males is higher than in female. A tendency more frequently occurring in young patients for both SCC and GCA was observed.更多还原