4647例体检人群胃镜检查结果分析

发布时间：2018-08-28 15:09

【摘要】：目的:了解体检人群的上消化道疾病情况,探讨体检人群行胃镜检查的必要性,提高人们行胃镜检查的意识,同时为提高早癌检出率提供临床依据。方法:通过对太钢集团18613名职工进行问卷调查,入选可行胃镜检查者9885例,对其电话通知并于太钢总医院行胃镜体检者4647例,体检者均无禁忌症,自愿签署胃镜检查知情同意书后行胃镜检查,最后对2014年1月-2016年12月于太钢总医院内镜中心行胃镜体检的4647例太钢集团职工的胃镜结果进行回顾性分析,统计其性别、年龄、疾病检出率的相关性。结果:4647例受检者中,年龄最小为27岁,最大为74岁,平均年龄为47.48±5.82岁,女性873例(18.8%),男性3774例(81.2%),青年组(39岁以下)801例(17.2%),中年组(40-59岁)3717例(80.0%),老年组(60岁以上)129例(2.8%);其中反流性食管炎465例(10.0%),Barrett食管84例(1.8%),慢性非萎缩性胃炎3531例(72.0%),慢性萎缩性胃炎243例(5.2%),消化性溃疡673例(14.5%),胃息肉498例(10.7%),上消化道癌症44例(0.9%)。4647例受检者中,Barrett食管和上消化道癌症检出率男女比较无统计学意义(P0.05);反流性食管炎、慢性非萎缩性胃炎、慢性萎缩性胃炎、消化性溃疡、胃息肉检出率男女比较有统计学意(P0.05),反流性食管炎、慢性萎缩性胃炎、消化性溃疡男性高于女性,慢性非萎缩性胃炎、胃息肉检出率女性比男性多。4647例受检者中,不同年龄组Barrett食管、消化性溃疡检出率无统计学意义(P0.05);不同年龄组反流性食管炎、慢性非萎缩性胃炎、慢性萎缩性胃炎、胃息肉、上消化道癌症检出率有统计学意义(P0.05),且反流性食管炎、慢性萎缩性胃炎、上消化道癌症以40岁以上人群发病为主,慢性非萎缩性胃炎、胃息肉以60岁以上多发。上消化道癌症41例(0.9%),早癌8例(19.5%),进展期癌33例(80.5%),主要以进展期癌检出为主,早癌在不同性别组和不同年龄组中的检出率均无统计学意义(P0.05),但早癌在40岁以上人群中有检出率。结论:体检人群行胃镜检查结果中,不同的上消化道疾病在40岁以上人群中有较高的检出率,但男女之间差异不一;此外,上消化道早癌在40岁以上人群中也有一定的检出率。因此,40岁以上人群应注意胃镜体检,提高疾病检出率,降低癌变率。
[Abstract]:Objective: to understand the condition of upper digestive tract diseases in people with physical examination, to explore the necessity of gastroscopy, to improve people's consciousness of gastroscopy, and to provide clinical basis for improving the detection rate of early cancer. Methods: a questionnaire survey was conducted among 18613 workers of Taigang Group. 9885 cases were selected for feasible gastroscopy examination. 4647 cases were informed by telephone and examined by gastroscope in the General Hospital of Taiyuan Iron and Steel Group. There was no contraindication in all the patients. The results of gastroscopy were analyzed retrospectively in 4647 workers of Taigang Group from January 2014 to December 2016 at the endoscopic center of Taiyuan Iron and Steel General Hospital, and the results of gastroscopy were analyzed retrospectively, and their gender and age were counted. Correlation of disease detection rate. Results among the 4647 subjects, the youngest was 27 years old, the oldest was 74 years old, the average age was 47.48 卤5.82 years old. 873 female (18.8%), male 3774 (81.2%), young group (under 39) 801 cases (17.2%), middle-aged group (40-59 years old) 3717 cases (80.0%), senile group (over 60 years old) 129 cases (2.8%), reflux esophagitis 465 cases (10.0%) Barrett's esophagus 84 cases (1.8%), chronic atrophic gastritis 3531 cases (72.0%), chronic atrophic gastritis 3531 cases (72.0%) There were 243 cases of gastritis (5.2%), 673 cases of peptic ulcer (14.5%), 498 cases of gastric polyp (10.7%), 44 cases of upper digestive tract cancer (0.9%). The detection rate of chronic non-atrophic gastritis, chronic atrophic gastritis, peptic ulcer, gastric polyp was statistically significant (P0.05), reflux esophagitis, chronic atrophic gastritis, peptic ulcer male than female, chronic non-atrophic gastritis, chronic non-atrophic gastritis, The detection rate of gastric polyps in women was higher than that in men. There was no significant difference in the detection rate of peptic ulcer and Barrett esophagus in different age groups (P0.05), and the detection rate of reflux esophagitis, chronic non-atrophic gastritis, chronic atrophic gastritis, gastric polyp in different age groups was not significant. The detection rate of upper gastrointestinal cancer was statistically significant (P0.05), and reflux esophagitis, chronic atrophic gastritis, upper digestive tract cancer in the population over 40 years old, chronic non-atrophic gastritis, gastric polyps more than 60 years old. 41 cases of upper gastrointestinal cancer (0.9%), 8 cases of early cancer (19.5%), 33 cases of advanced carcinoma (80.5%), mainly advanced cancer, the detection rate of early cancer in different sex group and different age group was not statistically significant (P0.05), but early cancer was detected in people over 40 years old. Conclusion: the results of gastroscopy showed that the detection rate of upper digestive tract diseases was higher in people over 40 years old, but the difference was different between men and women, in addition, the detection rate of early upper digestive tract cancer was also found in people over 40 years old. Therefore, people over 40 years old should pay attention to gastroscopy examination to improve the detection rate of diseases and reduce the canceration rate.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R573

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