林州上消化道癌早诊早治项目治疗病例分析(2008-2014)

Analysis of Endoscopic Screening and Early Treatment of Upper Digestive Tract Carcinoma of 705 Cases in Linzhou of Henan, China 2008-2014

摘要: 目的：本文报告河南林州市2008-2014年7年间上消化道癌筛查中发现的705例病例的近期治疗结果。方法：按照国家《癌症早诊早治技术方案》对筛查中发现的705例患者分别实施内镜下微创、手术等治疗方法，并进行随访观察生存状况以综合评价。结果：在接受治疗的572病例中，生存542例(94.76%)，死亡25例(4.37%)，死于其他疾病5例(0.87%)；在未接受治疗的133病例中，生存116例(87.22%)，死亡14例(10.53%)，死于其他疾病3例(2.26%)。其存活状况与治疗与否存在着统计学差异。结论：项目的核心不仅贵在早诊，而且要强调早治。资料显示，对于筛查中发现的不同病变，应积极采取相应的规范化治疗。接受治疗与否，对于病人的生存状况有着明显的影响。

Abstract: Objective: In this paper, to report 705 cases of treatment outcome for Upper Digestive Tract Carcinoma in Linzhou, 2005-2014. Method: in according with the national technical scheme of early cancer diagnosis and treatment programme found in the 705 cases with endoscopic minimally invasive, surgical treatment, and follow-up of survival in a comprehensive evaluation. Results: in the treatment of cases, 542 cases of life (94.76%), 25 cases of death (4.37%), 5 died of other diseases (0.87%), in untreated cases, 116 cases of life (87.22%), 14 cases of death (10.53%), 3 cases died of other diseases (2.26%). Its survival and whether or not there is a significant difference of treatment. Conclusion: the core of the project is not only expensive in early diagnosis, and to emphasize early treatment. Statistics show that found screening for different diseases, should adopt appropriate treatment. Treatment or not, the patient's living conditions had a significant effect.