摘要
目的 :探讨慢性萎缩性胃炎 (CAG)的预后以及与胃癌的关系。方法 :收集分析 1988年～ 1997年我院经胃镜及病理确诊的CAG患者 36例相关资料 ,进行 5～ 10年的定期胃镜检查及追踪分析。结果 :A组CAG伴中或重度肠上皮花生 (IM )病变加重率 11.1% ,癌变率 0 ;B组CAG伴IM及中或重度不典型增生 (ATP)病变加重率 16 .7% ,癌变率 5 .6 %。结论 :经中医药治疗CAG是可以逆转的 ,但ATP较CAG、IM难以治疗而且更易癌变 ,因此对CAG采取长期追踪观察是必要的。
Objective:To study the changes and estimate the results of Chronic Atrophic Gastritis (CAG) treatment and their relationship with gastric cancer. Methods:Collected the relevant data of 36 patients diagnosed by gastroscope as CAG and conducted regular gastroscopic examination for follow-up analysis of about 5 to 10 years between 1988 and 1997.Results:The deterioration rate for Group A, which is consisted of patients with syndrome of CAG and tolerable or severe IM, is 11.1 percent, and canceration case is zero.The deterioration rate for Group B, which is consisted of patients with syndrome of CAG, IM and tolerable or severe ATP, is 16.7 percent, and the canceration case is about 5.6 percent.Conclusions:CAG is recoverable with proper treatment using traditional Chinese Medicine, however, once ATP is found among the syndromes, the disease is much more difficult to cure than just CAG or IM, and with a higher rate of gastric canceration. Therefore, long-time gastrocopy follow-up is considered effective and necessary.
出处
《中国内镜杂志》
CSCD
2002年第3期25-25,28,共2页
China Journal of Endoscopy
