摘要
目的探究8年间通过胃镜检查确诊食管癌患者的流行病学特征及变化趋势。方法选取2016年1月至2023年12月在重庆市开州区人民医院进行胃镜检查的开州地区常住人群72689例为研究对象,进行回顾性研究。食管癌通过胃镜和病理学检查确诊,采用平均年度变化百分比(AAPC)比较食管癌检出率的变化趋势,统计食管癌患者的人口学特征及其分期特征。结果72689例胃镜受检者中共有3449例确诊为食管癌,2016—2023年分别检出485、469、455、440、424、418、389和369例,检出率分别为5.34%、5.16%、5.01%、4.84%、4.67%、4.60%、4.28%和4.06%,呈逐年下降趋势,AAPC为-2.28%(95%CI:-3.12%,-1.44%),其变化趋势比较差异有统计学意义(P<0.01)。<50岁人群食管癌检出率的AAPC为-2.62%(95%CI:-3.91%,-1.32%);50~59岁人群的AAPC为-2.87%(95%CI:-3.92%,-1.91%);60~69岁人群的AAPC为-3.12%(95%CI:-5.33%,-1.24%);≥70岁人群的AAPC为-3.01%(95%CI:-4.22%,-1.61%)。不同年龄段人群食管癌的检出率均呈逐年下降的趋势,且其变化趋势比较差异有统计学意义(P<0.01)。初诊时34.39%(1186/3449)的食管癌患者为早期,而65.61%(2263/3449)为中晚期。结论重庆市开州区人民医院2016—2023年数据显示食管癌检出率呈逐年下降的趋势,确诊时多数患者已处于中晚期阶段。需针对性地加强食管癌的宣传教育,提高人群对食管癌的认知,并采取科学综合措施来有效防控。
Objective To explore the epidemiological characteristics and changing trend of esophageal cancer patients diagnosed by gastroscopy in the past 8 years.Methods A total of 72689 permanent residents in Kaizhou area who underwent gastroscopy in the People's Hospital of Kaizhou District,Chongqing from January 2016 to December 2023 were selected as the research subjects for retrospective study.The diagnosis of esophageal cancer was confirmed by gastroscopy and pathology.The average annual percentage change(AAPC)was used to compare the trend of changes in esophageal cancer detection rate,and the demographic characteristics and staging characteristics of esophageal cancer patients were analyzed.Results A total of 3449 patients with esophageal cancer were diagnosed in 72689 cases undergoing gastroscopy.From 2016 to 2023,485,469,455,440,424,418,389 and 369 patients were detected,respectively.The detection rates were 5.34%,5.16%,5.01%,4.84%,4.67%,4.60%,4.28%and 4.06%,respectively,showing a downward trend year by year,and the AAPC was-2.28%(95%CI:-3.12%,-1.44%),showing significant differences(P<0.01).The AAPC of esophageal cancer de⁃tection rate was-2.62%(95%CI:-3.91%,-1.32%)among people under 50 years,-2.87%(95%CI:-3.92%,-1.91%)among those aged 50⁃59 years,-3.12%(95%CI:-5.33%,-1.24%)among those aged 60⁃69 years,and-3.01%(95%CI:-4.22%,-1.61%)among those aged≥70 years.The detection rate of esophageal cancer in different age groups showed a decreasing trend year by year,and the difference in the changing trend was significant(P<0.01).Of them,34.39%(1186/3449)of the esophageal cancer patients were in the early stage,while 65.61%(2263/3449)were in the middle and late stage.Conclusion The data of the People's Hospital of Kaizhou District,Chongqing from 2016 to 2023 showed that the detection rate of esophageal cancer showed a downward trend year by year,and most patients were in the middle and late stage when diagnosed.It is necessary to strengthen the health education of esophageal cancer,improve the awareness of esophageal cancer,and take scientific and comprehensive measures to prevent and control it effectively.
作者
李琼
李玲
LI Qiong;LI Ling(Department of Gastroenterology,the People's Hospital of Kaizhou District,Chongqing 405400,China;Department of General Medicine,the People's Hospital of Kaizhou District,Chongqing 405400,China)
出处
《临床误诊误治》
2025年第7期73-77,共5页
Clinical Misdiagnosis & Mistherapy
基金
重庆市开州区科技指导性项目(2022⁃Z⁃01⁃43)。
关键词
食管肿瘤
胃镜
病理学
检出率
流行病学特征
变化趋势
人口学特征
临床分期
Esophageal neoplasms
Gastroscopes
Pathology
Detection rate
Epidemiological characteristics
Chan⁃ging trend
Demographic characteristics
Clinical stage
作者简介
李琼,本科。主要从事消化系统疾病方向研究;通讯作者:李玲,E⁃mail:1986054777@qq.com。
