An Analysis Of Esophageal Carcinoma And Precarcinomatous Diseases Of Escophageal Carcinoma Detected By Endoscope In Chongqing City

Object To summarize the information of esophageal carcinoma and precarcinomatous diseases of esophageal carcinoma detected by endoscope from 1979-2006 in Chongqing ,analyze its variable tendency and approach its characteristics of clinical epidemiology.Methods By retrospective study(1979-2006),we added up the clinical data of esophageal carcinoma and its precarcinomatous diseases including reflux esophagitis,Barrett's esophagus ,atypical hyperplasia of esophageal epithelium, esophageal diverticulum and esophagopolypus from 3 comprehensive hospitals'gastroscope rooms .Results The annual detection rate of the male's esophageal carcinoma is 3.2 times of the female's, among these 3 stages (the first stage: from Jan, 1979 to Dec,1989;the second stage : from Jan,1990 to Dec,1999;the third stage: from Jan,2000 to Apr,2006 ), the male's is higher than the female's respectively(p<0.01).Compared with the first stage,the male's detection rate and the female's detection rate in their bulk age stages take an increasing tendency in the second stage(p<0.01), compared with the second stage,both sex take an unmanifest decreasing tendency. Compared with the past 10 years'information, the detection rate of the male above 70 takes an increasing tendency while the female above 65 is unmanifest. The male's annual detction rate of the precarcinomatous diseases of esophageal carcinoma is 1.94 times of the female's. In the composition of these diseases, RE occupies the major proportion ( 79.57%), theâ… grade RE occupies 38.27%, the composition of the male's and females's are respectively accorded with that. The male's annual detction rate of RE is 2.13 times than that of the female's. Among the 3 stages, the annual dectection rate of both sex take a continual increasing tendency (p<0.01), and male's velocity of increase is higher than the female's, while the detection rate of atypical hyperplasia and other precarcinomatous diseases of esophageal carcinoma are unvariable in both sex. Among the 3 stages, the annual detection rates of the precarcinomatous diseases of esophageal carcinoma in the male's bulk age (age 35-60 ) are all higher than the female's bulk age (age 35-60), the detection rate of the male above 60 takes an continual increasing tendency among the 3 stages(p<0.01), while those female above 55 takes an unmanifest variation.Conclusion All in all, the morbidity of male's esophageal carcinoma and its precarcinomatous diseases in Chongqing is higher than the female's, during almost last 30 years, the esophageal carcinoma's morbidity of the crowd in the bulk age doesn't take a degrading tendency, moreover, the age of the esophageal carcinoma's onset in the male is trending to the old; RE occupies the major proportion of the precarcinomatous diseases of esophageal carcinoma in Chongqing, especially the gradeâ… and gradeâ…¡pathological change; during about last 30 years, RE takes an increasing tendency, the velocity of increase in morbidity the youth under 35 and people above 60 are even beyond the bulk-aged crowd; to prevent and cure RE is a important measure to bring down the long-term morbidity of esophageal carcinoma the male above 50 in Chongqing should be the unode crowd in the first-level prevention to esophageal carcinoma, especially those above 50 suffering RE should be regarded as the high-risk group of esophageal carcinoma, the second-level prevention to esophageal carcinoma centered around the gastroscopic detection, the ritual gastroscopic test should not omit the people above 70 ,the male specially...