摘要
目的为了分析青年人胃癌的临床特点,探讨相应的对策。方法回顾性分析了我院1986年12月至1995年12月十年间收治并经病理证实的56例青年人胃癌的临床资料。结果早期症状无特异性,病程短,病理类型以中、低分化癌为主;发病部位以胃下部多见;45例获根治性切除,根治性切除率80.36%。全组总体1、3、5年生存率分别为69%、50%、42%,根治术后其1、3、5生存率分别为77%、60%、50%。结论青年人胃癌虽具有发病率较低、症状隐蔽、恶性度高、发展快等特性,但亦具备普通胃癌的共性。通过恰当与合理的治疗仍可取得较为满意的效果。而如何才能进一步强化我们对胃癌的认识,提高早诊率,才是改善预后的首要关键。
Objective To study the clinical feature and correlated countermeasure of management for gastric carcinoma in young. Methods From December 1986 to December 1995, the clinical date of 56 cases wtih gastric carcinoma in young confirmed by pathology were analyzed retrospectively. Results Early symptoms were no specific and shorter course in gastric carcinoma of young. It＇s pathological type was moderate and poor differentiation in majority cases. Pathogenic site was in gastric lower part. Radical resection was got in 45 cases. The radical resection rate was 80.36%. In this group, a total of 1,3 ,5-year survival rates were 69%-050% and 40% respectively. After radical resection, it＇s 1,3,5-year survival rates were 77%-66% and 50% respectively. Conclusion Gastric carcinoma of young possesses lower incidence, hidden symptoms, high malignant and quick development ere characteristics. But it has a general character of common gastric carcinoma. Enhancement of early diagnostic rate and a suitable operative treatment are foremost key to improve prognosis for young patients of gastric carcinoma.
出处
《岭南现代临床外科》
2007年第4期241-242,246,共3页
Lingnan Modern Clinics in Surgery
关键词
青年人胃癌
特征
治疗
Gastric carcinoma in young
Characteristics
Treatment
