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目的了解漳州地区胃癌患者的临床病理资料及流行病学的特点,为疾病诊断与评估提供依据。方法选取2013年7月至2014年6月漳州地区3家主要医院行手术治疗的396例胃癌患者为研究对象,对其一般资料、肿瘤病理类型、发生部位等进行回顾性分析。结果胃癌高发年龄为老年组(≥60岁)。在青年组(≤40岁),女性多于男性;其他年龄组,男性多于女性。不同年龄组组织学类型、浸润深度和发病部位差异有统计学意义。早期胃癌与进展期胃癌在年龄、组织学类型、淋巴结转移和病灶大小方面差异有统计学意义。结论漳州地区胃癌好发于老年男性,以高中分化型为主。青年人胃癌女性多见,以低未分化型为主。早期胃癌检出率低,早期诊断有待提高。
Objective To understand the clinicopathological data and epidemiological characteristics of gastric cancer patients in Zhangzhou area and provide basis for disease diagnosis and evaluation. Methods From March 2013 to June 2014, 396 gastric cancer patients undergoing surgical treatment in 3 major hospitals in Zhangzhou were selected as the research objects. The general data, the pathological types and the location of tumor were retrospectively analyzed. Results The high incidence of gastric cancer in the elderly group (≥ 60 years). In the youth group (≤40 years), more women than men; other age groups, more men than women. There were significant differences in histological types, depth of invasion and incidence of disease in different age groups. Early gastric cancer and advanced gastric cancer in age, histological type, lymph node metastasis and size of lesions were statistically significant. Conclusion Gastric cancer in Zhangzhou area occurs predominantly in elderly men, with high schizophrenia predominance. More common in young women with gastric cancer, mainly low undifferentiated type. Early detection of gastric cancer is low, early diagnosis needs to be improved.