摘要
目的了解胃肠疾病构成，分析胃肠疾病的季节变化及其发病趋势．方法收集中山医院１９８６０１／１９９５１２十年内镜检查资料，应用ＥｐｉＩｎｆｏ统计程序在计算机上进行统计分析．结果①在接受内镜检查的３０４３９例次病例中，男１９８８３例次，占６５３％．女性１０５５６例次，占３４７％．平均年龄４４岁±１３岁．胃大部切除术后９６２例次，占３８％；因上消化道出血接受检查４１２１例次，占１３５％．②在排除胃大部切除术后病例中，消化性溃疡的检出率最高，为３６２％，恶性肿瘤７３２例，占２５％，其中８２２％的病例年龄在４５岁以上．③对不同月份溃疡病检出率比较显示，十二指肠溃疡病的检出率在８月份最低，为１３１％，明显低于其他各月份；胃溃疡及复合溃疡在各月份检出率变化不大．④对不同年份溃疡检出率变化趋势分析显示，十二指肠溃疡病的检出率有逐年上升趋势．结论溃疡病在内镜检查中仍是主要的发现，且十二指肠溃疡发病近年有增加的趋势．在４５岁以上的人群应警惕胃癌发病的可能．早期内镜检查。
AIM To investigate the proportion of gastrointestinal disease and the variation of peptic ulcer with months and years. METHODS Gastroendoscopic data from January 1986 to December 1995 of Zhongshan Hospital has been collected. Epi Info statistical program has been used to analyze the data. RESULTS ①Among 30439 cases receiving endoscopic examination, 19883 (65 3%) were male and 10556 (34 7%) female; mean age was 44±13 years. There were 962 (3 8%) post macrogastrectomy cases, and 4121 (13 5%) upper gastrointestinal bleeding cases. ②Excluding macro gastrectomy, the incidence of peptic ulcer is 36 2%, much higher than other diseases, the incidence of malignant tumor is 2 5%, among which 82 2% patients were older than 45. ③In different months, the incidence of duodenal ulcer in August was the lowest (13 1%, P <0 01), there was no great monthly variation of gastric ulcer and combined ulcer. ④In different years, the incidence of duodenal ulcer has a tendency of yearly increasing. CONCLUSION The annual increasing incidence of duodenal ulcer suggests that endoscopy has been accepted by more and more patients.
出处
《世界华人消化杂志》
CAS
1999年第1期15-17,共3页
World Chinese Journal of Digestology
关键词
胃镜检查
胃肿瘤
食管肿瘤
诊断
溃疡
gastroscopy
stomach neoplasms/diagnosis
esophageal neoplasms/diagnosis
peptic ulcer/diagnosis
