了解某院近十年胃癌手术患者的住院情况，为做好院内管理和临床防治提供依据。

采用回顾性分析及病案首页检索的方法，对2005至2014年广州某三级甲等医院收治的2 115例胃癌手术患者性别、年龄、病理类型、手术方式、治疗结果、住院天数及费用等数据资料进行调查分析。

十年来该院收治的胃癌手术患者呈上升趋势，50岁以上男性患病风险高于女性，并随着年龄的增长，胃癌发病风险增加。胃窦（幽门窦）是胃癌好发部位，腺癌是胃癌最常见的病理类型，占86.3%。手术治疗仍是胃癌患者主要治疗方式，发病部位对治疗方案的选择有较大影响。术前住院日为（9.8±5.3）d，术后住院日为（14.2±10.2）d，平均住院日为（23.9±11.9）d；平均住院费用为（68 792.1±47 673.9）元，药费占总费用比例平均为41.0%，术后并发症的发生率为8.9%。

中老年男性是胃癌高危人群，该院胃癌治疗效果满意，效率不断提高，费用结构合理。

To investigate the hospitalization of gastric cancer patients with surgery from the recent ten years for providing basis for management, clinical prevention and treatment.

Data of 2 115 cases with gastric cancer undergoing surgery including gender, age, pathological type, treatment choices, efficiency, cost and so on were selected and retrospectively analyzed, through medical records retrieval system during 2005-2014.

During the recent ten years, the inpatients with gastric cancer showed a rising trend. The risk of gastric cancer increased with age, and men aged over 50 years old higher than women patients. The common location was gastric antrum and the common pathologic type was adenocarcinoma (86.3%). Surgery was still the main treatment for patients with gastric cancer. The pathogenic site of gastric cancer had a greater impact on the treatment plan. Length of hospital stay before and after operation was (9.8±5.3) days and (14.2±10.2) days respectively, with a mean of (23.9±11.9) days. The average hospitalization expense was (68 792.1±47 673.9) yuan. The proportion of drug fees acounted for 41.0%. Postoperative complication rate was 8.9%.

The middle- and aged male should pay attention to gastric cancer. The therapeutic effect and efficiency are satisfactory with reasonable cost structure in the hospital.