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目的:了解乐都县常住人口中(40～69)岁人群食管癌/贲门癌的发病情况,为食管癌/贲门癌防治工作提供科学的参考依据。方法:利用整群抽样方法对乐都县(40～69)岁常住人口1 005例采取内镜下碘染色、指示性活检及病理检查的方法进行筛查。结果:共检出食管癌及贲门癌8例,总检出率为7.996‰,早期癌2例;其中食管癌3例,检出率为2.99‰,贲门癌5例,检出率为4.98‰,8例食管癌/贲门癌患者的男女性别比例为71,其中男性检出率为14.29‰,女性1.94‰,男性检出明显高于女性,P<0.05。结论:乐都县的食管癌发病率高于我国其他高发地区,且以50岁以上的中老年男性为主;内镜下碘染色、指示性活检及病理检查为食管癌早期筛查的有效手段。
Objective: To understand the incidence of esophageal / cardiac cancer in the population of 40-69 years old resident population in Ledu County, and to provide scientific reference for the prevention and treatment of esophageal / cardiac cancer. Methods: A total of 1 005 cases of resident population aged 40-69 in Ledu County were screened by cluster sampling method by endoscopic iodine staining, biopsy and pathological examination. Results: A total of 8 cases of esophageal and cardiac cancer were detected, with a total detection rate of 7.996 ‰ and 2 cases of early stage cancer. Among them, 3 cases of esophageal cancer had a detection rate of 2.99 ‰ and 5 cases of cardia carcinoma with a detection rate of 4.98 ‰ , 8 cases of esophageal cancer / cardia cancer patients sex ratio was 7 1, of which the detection rate of 14.29 ‰ males and 1.94 ‰ of females, men were significantly higher than the females, P <0.05. Conclusion: The incidence of esophageal cancer in Ledu County is higher than that in other high incidence areas in our country, and is mainly in middle-aged and older men over 50 years old. Endoscopic iodine staining, indicative biopsy and pathological examination are the effective means for early screening of esophageal cancer .