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目的探讨农村地区症状性筛选胃癌,尤其是早期胃癌的重要性和可能性。方法2001年1月至2006年6月间在上海市南汇区航头社区卫生服务中心,对主诉为上腹隐痛饱胀不适的2 717例开展胃镜筛查胃癌研究。结果胃镜活检病理证实食管癌6例(0.22%),胃癌73例(2.69%);手术病理证实进展期胃癌66例(占检出胃癌的90.42%),其中7例未发现转移,59例发现转移;早期胃癌7例(占检出胃癌的9.58%)。结论加强胃癌知识宣传,加强专业人员的技术培训,提高内镜下对早期胃癌的识别能力,农村基层医疗单位亦能检出一定数量的早期胃癌。
Objective To investigate the significance and possibility of symptomatic screening of gastric cancer in rural areas, especially early gastric cancer. Methods From January 2001 to June 2006, 2 717 cases of gastric cancer were enrolled in the study. Gastroscopy was used to screen the stomach cancer in Shanghai Hanguang Community Health Service Center. Results Gastroscopy biopsy showed that esophageal cancer was found in 6 cases (0.22%) and gastric cancer in 73 cases (2.69%). 66 cases were diagnosed as advanced gastric cancer by surgical pathology (90.42% of gastric cancers were detected), of which 7 cases did not find metastasis and 59 cases were found Metastasis; 7 cases of early gastric cancer (accounting for 9.58% of gastric cancer detected). Conclusion The publicity of knowledge of gastric cancer is strengthened, the technical training of professionals is strengthened, and the ability of endoscopic recognition of early gastric cancer is enhanced. Rural primary medical units can also detect a certain amount of early gastric cancer.