甘肃省三十年胃镜检出食管癌分析

Objective To investigate the clinical epidemiological characteristics of esophageal carcinoma and its trend during the past 30 years in Gansu province . Method Patients with esophageal carcinoma，detected by endoscopy and pathologically diagnosed from 1 977．1 to 2006．1 2 were selected．The main clinical data，epidemiologyical，endoscopic manifestation and the pathological characteristics were studied Results The overall diagnosis rate of esophageal carcinoma was1.63％ in the past 30 years．The mean age of 8693 patients with esophageal carcinoma was 59 years old，with the predominant age ranged from50 to 69 years old. The ratio between male and female was 4.08：1，which was gradually increased with increasing of age. The highest rate of detection was in Wuwei(5.03%). Conclusions The proportiong of esophageal adenocarcinoma was significantly lower than squamous cancer ;Esophageal adenocarcinoma occurred most frequently in the lower ,but esophageal squamous cancer occurred most freaquently in the middle or upper. Early prevention and control work for esophageal carcinoma in Wuwei has great significance