摘要
目的探讨老年性胃癌的临床特点。方法196例胃癌分为两组,老年组126例(64.29%),青年组70例(35.71%),均行胃镜检查、病理诊断、临床分析对比。结果胃癌部位:老年组,胃窦50例(25.50%)、胃体60例(30.60%)、胃底16例(8.16%);青年组,胃窦42例(21.42%)、胃体18例(9.22%)、胃底10例(5.10%)。病理类型:老年组,高分化腺癌114例(58.16%)、中分化腺癌8例(4.07%)、低分化腺癌4例(2.02%);青年组,高分化腺癌40例(20.40%)、中分化腺癌24例(12.29%)、低分化腺癌6例(3.06%)。3年随访,老年组生存16例(8.16%)、青年组48例(24.49%)。结论老年性胃癌临床特点:(1)男性高于女性;(2)胃体部发病率高;(3)临床症状不典型;(4)老年胃癌常合并其他疾病。
Objective To discuss the clinical point and treatment of aged gastric tumor. Methods 196 cases were divided into 2 groups,aged group 126 patients(64.29 % ), young group 70 patients(35.71% ), all of cases received gastroscopy,pathology and clinical analysis. Results Tumor's position was as follows:aged:gastric sinus 50 cases(25.50 % ), gastric body 60 ( 30.60 % ), gastric bottom 16 ( 8.16 % ). Youth: gastric sinus 42 cases ( 21,42 % ), gastric body 18 (9.22 % ), gastric bottom 10 ( 5.10 % ), Pathological style aged : high differentiation adenocarcinoma 114 eases(58.16 % ), the middle 8 (4.07 % ), the low 4 (2.02 % ). Youth: high differentiation adenocareinoma 40 (20.40 % ), the middle 24 ( 12.29 % ), the low 6 (3.06 % ). By the 3 years follow-up, the survival was 16 patients in aged group(8.16 % ) ,48 cases in young group(24.49 % ). Conclusion The incidence of male aged gastric tumor is higher than female,the incidence of gastric body is higher than other position,clinical symptom is not representative and generally incorporated with other diseases.
出处
《中国基层医药》
CAS
2007年第1期90-91,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
胃肿瘤
老年人
Stomach neoplasms
Aged