目的：探讨阴道镜检查在宫颈癌筛查中的临床应用及价值。方法：本研究回顾性分析2012年1月至2012年12月我区宫颈癌筛查工作中，初筛异常转诊病例的阴道镜检查结果，进一步评价阴道镜检查在宫颈癌筛查中的作用。结果：335例患者阴道镜检查同时行病理检查，病理检查确诊为宫颈癌1例，CIN（宫颈上皮内瘤样病变）Ⅱ～Ⅲ级14例，CINⅠ级28例，尖锐湿疣1例。结论：应用阴道镜筛查宫颈癌可以达到早发现、早诊断、早治疗，阻断癌前病变的发展，降低宫颈癌的发病率和死亡率，具有很重要的临床应用及价值。

近年来,我国大肠癌发病流行病学上呈明显右移趋势[1].为探讨右半结肠癌患者的发病特点,我们对本院2000年1月～2009年12月肠镜室检出的右半结肠癌进行回顾性分析,以了解近年来右半结肠癌患者的变化趋势.

Objective To investigate the epidemiological characteristics of gastric cancers diagnosed by gastroscopy.Methods One thousand three hundred and seventy one patients with gastric cancer diagnosed by gastroscopy from Jan.1987 to Dec.2008 were analyzed.Pathological localizations were statistically investigated,and the sexual,age,years and pathohistological type were classified.Results In all 1 371 cases,there were 380 cases with gastric fundus-cardia cancer (27.7%),422 cases with gastric corpus cancer (30.8%),569 cases with gastric antrum cancer (41.5%).Regarding pathologic type,the majority were low-differentiation adenocarcinoma.The Incidence of low-differentiation adenocarcinoma was decreased along with growing age,while was increased along with growing years.Of the 380 cases with gastric fundus-cardia cancer,307( 80.8% ) were males and 73(19.2%)were females(P0.01).Incidence of gastric fundus-cardia cancer was increased along with growing age and growing years.And the characteristic of gastric corpus cancer was similar.Of 569 cases with gastric antrum cancer,436 (76.6%) were males and 133(23.4%)were females.In younger,the incidence of gastric antrum cancer was higher in female.In the contrary,with older,the gastric antrum cancer was more oftener in males.Conclusions Incidence of gastric carcinoma has decreased year by year.There is a trend towards proximal stomach in the location of gastric cancer.A high-grade malignancy indeed,is on the rise.

Objective To investigate the epidemiological characteristics of gastric cancers diagnosed by gastroscopy.Methods One thousand three hundred and seventy one patients with gastric cancer diagnosed by gastroscopy from Jan.1987 to Dec.2008 were analyzed.Pathological localizations were statistically investigated,and the sexual,age,years and pathohistological type were classified.Results In all 1 371 cases,there were 380 cases with gastric fundus-cardia cancer (27.7%),422 cases with gastric corpus cancer (30.8%),569 cases with gastric antrum cancer (41.5%).Regarding pathologic type,the majority were low-differentiation adenocarcinoma.The Incidence of low-differentiation adenocarcinoma was decreased along with growing age,while was increased along with growing years.Of the 380 cases with gastric fundus-cardia cancer,307( 80.8% ) were males and 73(19.2%)were females(P<0.01).Incidence of gastric fundus-cardia cancer was increased along with growing age and growing years.And the characteristic of gastric corpus cancer was similar.Of 569 cases with gastric antrum cancer,436 (76.6%) were males and 133(23.4%)were females.In younger,the incidence of gastric antrum cancer was higher in female.In the contrary,with older,the gastric antrum cancer was more oftener in males.Conclusions Incidence of gastric carcinoma has decreased year by year.There is a trend towards proximal stomach in the location of gastric cancer.A high-grade malignancy indeed,is on the rise.

目的 探讨胃镜诊断胃癌病人的发病特点.方法 选择1987年1月-2008年12月采用胃镜检出胃癌的病人1 371例.分别按性别、年龄、年份、病理组织类型对发病部位进行统计.结果 1 371例胃癌病人中胃底贲门癌380例,占27.7%;胃体癌422例,占30.8%,胃窦癌569例,占41.5%.各部位胃癌组织类型均以低分化腺癌为主,随年龄增长低分化腺癌有下降趋势,随年份增长低分化腺癌有上升趋势.380例胃底贲门癌中男性307例,占80.8%,明显高于女性73例(19.2%)(P＜0.01).随年龄、年份增长,胃底贲门癌有增长趋势,而胃体癌有缓慢增长趋势.569例胃窦癌中男性436例,占76.6%,女性133例,占23.4%;青年人胃窦癌女性明显高于男性,随年龄、年份增长男性胃窦癌多于女性.结论 胃癌发病率呈下降趋势,发病部位呈上移趋势,高恶性度比例呈上升趋势.

Objective:To evaluate the therapeutic effect of transanal local excision in the treatment of low rectal cancer in stage I.Methods:The data of 29 cases of low-set rectal cancer patients in stage(T1-N0M0)treated by transanal local excision(group A,20 cases of T1 patients and I 29 cases of T2 patients)were reviewed retrospectively,and the group of 23 cases with radical resec tion(group B,8 cases of T1 patients and 15 cases of T2 patients).The 5-year survival rates,recur rence rates,and postoperative complications between the two groups were compared.Results:The 5-year survival rates were 100%(20/20)for T1 patients and 88.9%(8/9)for T2 patients in group A,and 100%(8/8)for T1 patients and 100%(15/15)for T2 patients in group B.There was no significantly statistical difference between the two groups(P0.05).The recurrence rates were 5.0%(1/20)for T1 patients and 44.4%(4/9)for T2 patients in group A,and 0(0/8)for T1 patients,6.7%(1/15)for T2 patients in group B.There was no significant difference between two groups of T1 patients(P0.05),but significant difference between the two groups of T2 patients(P=0.040.05).The incidence of postoperative complications in group A was 0%(0/29),which was significantly lower than that of 30.4%(7/23)in group B(P=0.010.05).Conclusions:For T1 patients of low-set rectal cancer,transanal local excision is a reasonable choice.While For T2 patients,transanal local excision only is not suitable.

1992年以来,在剖腹探查术中采用纤维内镜寻找肠道病灶31例,取得较好效果,现报告如下.