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食管癌高发区无症状居民疾病发生谱前瞻性研究——711例自然人群16年观察

Prospective Study of Disease Occurrence Spectrum in Asymptomatic Residents in Areas with High Incidence of Esophageal Cancer: 16-year Observation of 711 Cases in Natural Population

  • 摘要:
    目的 了解食管癌高发区一自然村庄疾病谱,为食管癌的精准防控提供参考依据。
    方法 2008—2024年对我国食管癌高发区一自然村庄年龄大于35岁以上的无症状人群共711人开展现场问卷调查,对其中171人进行胃镜、活检和病理检查,并对所有人员长期追踪随访,调查记录其疾病史。
    结果 2008年至2024年共随访16年,最终有效随访703人。2008年共171人行胃镜检查,内镜筛查中共160人有活检和病理结果,截至2024年,共76人患12种不同类型恶性肿瘤,其中患食管癌者45例。
    结论 食管癌仍是该地区重大恶性肿瘤发病及死亡原因,应加大胃镜检查的活检病理检测力度、高度重视追踪随访和定期复查以降低食管癌发病率和死亡率。

     

    Abstract:
    Objective To understand the disease spectrum of a natural village in an area with high incidence of esophageal cancer to provide a reference for precise prevention and control.
    Methods From 2008 to 2024, 711 asymptomatic people over the age of 35 years in a natural village with high incidence of esophageal cancer in China were surveyed, and 171 of them were subjected to gastroscopy, biopsy, and pathological examination. All participants were followed up for a long time, and their disease history was recorded.
    Results A total of 16 years of follow-up were performed, and 703 people were effectively followed up. In 2008, 171 people underwent gastroscopy, and 160 people had biopsy and pathological results in endoscopic screening. By 2024, 76 people had been diagnosed with malignant tumors of 12 different types, and among these people, 45 had esophageal cancer.
    Conclusion Esophageal cancer remains a significant cause of morbidity and mortality from malignant tumors in this region. Biopsy and pathological examination should be strengthened during gastroscopy, and follow-ups and regular check-ups should be given high importance to reduce the incidence and mortality rates of esophageal cancer.

     

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