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为观察食管癌的检出率、发生部位、镜下及组织学类型,对纤维男镜和病理证实的食管癌171例进行了分析。结果显示:男130例,女41例,平均年龄57.69岁;总检出率3.61%,随年龄增加检出率增高(P<0.001),男性高于女性(P<0.01),少数民族高于汉族(P<0.01);发生部位中段>下段>上段;内镜下类型髓质型为主(55.62%);组织学类型鳞癌80.12%,腺癌19.30%,分化型癌7427%,低分化癌25.73%。提示中老年仍是食管癌高危人群,中段食管癌发生率高,内镜下髓质型为主,组织学类型鳞癌为主。
In order to observe the detection rate, site of occurrence, microscopic and histological types of esophageal cancer, 171 male and female pathologically confirmed esophageal cancers were analyzed. The results showed that there were 130 males and 41 females with an average age of 57.69 years. The total detection rate was 3.61%. The detection rate increased with age (P<0.001). Males were higher than females (P<0). .01), Ethnic minorities were higher than Han nationality (P <0.01); Middle parts of the site of occurrence> Lower part> Upper part; Endometrial type was mainly medullary type (55.62%); 80.12% of histological type squamous cell carcinoma 19.30% of adenocarcinomas, 7427% of differentiated cancers, and 25.73% of poorly differentiated cancers. It is suggested that the middle-aged and elderly people are still at high risk of esophageal cancer. The incidence of esophageal cancer in the middle segment is high, and the medulla is mainly endoscopic and the histological type is squamous cell carcinoma.