中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2009年
8期
1406-1407
,共2页
胃肿瘤%老年人
胃腫瘤%老年人
위종류%노년인
Stomach neoplasma%Aged
目的 分析老年胃癌患者的临床病理特征及发病特点.方法 回顾性分经胃镜及术后病理确诊的老年胃癌患者90例(老年组)的临床资料,并与同期青年胃癌患者(青年组)12例相比较,观察两组在性别、临床症状、病变部位、病理类型方面的差异.结果 老年组的首发症状中纳差50例(55.6%),消瘦、乏力38例(42.2%),吞咽困难23例(25.6%),贫血29例(32.2%),上腹痛34例(37.8%)、返酸嗳气17例(18.9%),与青年组的1例(8.3%)、1例(8.3%)、0例(0)、2例(16.7%)、4例(33.3%)等相比较,差异均有统计学意义(均P＜0.05);老年组中男70例(77.8%),女20例(22.2%),与青年组的3例(25%.0)、9例(75.0%)相比较,差异有统计学意义(P＜0.05);老年组以中、高分化腺癌为主约为85%,而青年人组以中、低分化腺癌为主约为59%,两者差异有统计学意义(P＜0.05).结论 老年胃癌患者的首发症状无特异性,男性较多,早期诊断困难,预后差.
目的 分析老年胃癌患者的臨床病理特徵及髮病特點.方法 迴顧性分經胃鏡及術後病理確診的老年胃癌患者90例(老年組)的臨床資料,併與同期青年胃癌患者(青年組)12例相比較,觀察兩組在性彆、臨床癥狀、病變部位、病理類型方麵的差異.結果 老年組的首髮癥狀中納差50例(55.6%),消瘦、乏力38例(42.2%),吞嚥睏難23例(25.6%),貧血29例(32.2%),上腹痛34例(37.8%)、返痠噯氣17例(18.9%),與青年組的1例(8.3%)、1例(8.3%)、0例(0)、2例(16.7%)、4例(33.3%)等相比較,差異均有統計學意義(均P＜0.05);老年組中男70例(77.8%),女20例(22.2%),與青年組的3例(25%.0)、9例(75.0%)相比較,差異有統計學意義(P＜0.05);老年組以中、高分化腺癌為主約為85%,而青年人組以中、低分化腺癌為主約為59%,兩者差異有統計學意義(P＜0.05).結論 老年胃癌患者的首髮癥狀無特異性,男性較多,早期診斷睏難,預後差.
목적 분석노년위암환자적림상병리특정급발병특점.방법 회고성분경위경급술후병리학진적노년위암환자90례(노년조)적림상자료,병여동기청년위암환자(청년조)12례상비교,관찰량조재성별、림상증상、병변부위、병리류형방면적차이.결과 노년조적수발증상중납차50례(55.6%),소수、핍력38례(42.2%),탄인곤난23례(25.6%),빈혈29례(32.2%),상복통34례(37.8%)、반산애기17례(18.9%),여청년조적1례(8.3%)、1례(8.3%)、0례(0)、2례(16.7%)、4례(33.3%)등상비교,차이균유통계학의의(균P＜0.05);노년조중남70례(77.8%),녀20례(22.2%),여청년조적3례(25%.0)、9례(75.0%)상비교,차이유통계학의의(P＜0.05);노년조이중、고분화선암위주약위85%,이청년인조이중、저분화선암위주약위59%,량자차이유통계학의의(P＜0.05).결론 노년위암환자적수발증상무특이성,남성교다,조기진단곤난,예후차.
Objective To analyze clinical pathological characteristics of gastric cancer in elderly people,and to study the characteristics of gastric cancer incidence.Methods A retrospective analysis of clinical data of gastric cancer in elderly people which were diagnosed by gastroscopy and pathology from 2003 to 2008 was undertaken,and compared to it in young people at the same period about gender,clinical symptoms,lesion,pathological types.Results There were 70 cases of men(77.8%)and 20 cases of woman(22.2%)in elderly group,but there were 3 cases of man(25.0%)and 9 cases of woman(75.0%)in young group,there wsa significant difference between two group(P ＜0.01);The first symptoms in elderly group and young group were loss of appetite(50 cases,55.6% and 1 case,8.3%),thin and weak(38 cases,42.2% and 1 case,8.3%).difficulty swallowing(23 cases,25.6% and o case),anehia(29 cases ,32.2% and 2 cases,16.7%),upper abdominal pain(34 cases,37.1 % and 4 cases,33.3%)re spedtively.There was no significant difference between two group(P ＞ 0.05).The lesion of gastric cancer in two group were funds of stomach and cardia(39 cases,43.3% and 1 case,8.3%),antral(26 cases,28.9% and 7 cases,58.3%).body of stomach(22 cases,24.4% and 4 cases,33.3%).entire stomach(3 cases,3.3% and 0 case)respectively.There was significant difference between two group(P ＜0.05).The main of pathological types was abeno carcinoma.and the main in elderly group was moderate,high differentiation(85%),and the main in young group was moderate,low differentiation(59%).There was significant difference between two group(P ＜ 0.05).Conclusions The symptoms of gastric cancer in elderly people was non-specific,and it had more complications.We found that early diagnosis of gastric cancer in elderly people was difficult and it had poor prognosis.
