中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
7期
25-26
,共2页
青年人胃癌%临床分析%早期诊断
青年人胃癌%臨床分析%早期診斷
청년인위암%림상분석%조기진단
Youth gastric cancer%Clinical analysis%Early diagnosis
目的：探讨青年人胃癌发病特点及防治措施。方法：2005年1月-2013年1月收治胃癌患者75例，均为＜35岁青年人，通过年龄、性别、病程、临床症状、胃镜、病理特点、诊断及治疗进行回顾性分析。结果：①青年人胃癌女性发病率明显高于男性。②早期症状不典型，误诊率高，年龄越小病程越短，发病率越高，缺乏特异性症状体征。③根治性手术切除率低。④发病部位以胃窦为主，病理以组织分化差为主。⑤转移早、预后差，5年生存率低。结论：青年人胃癌发病率低，恶性度高，转移早，误诊率高，欲提高青年人胃癌的生存率，关键是提高早期诊断率。
目的：探討青年人胃癌髮病特點及防治措施。方法：2005年1月-2013年1月收治胃癌患者75例，均為＜35歲青年人，通過年齡、性彆、病程、臨床癥狀、胃鏡、病理特點、診斷及治療進行迴顧性分析。結果：①青年人胃癌女性髮病率明顯高于男性。②早期癥狀不典型，誤診率高，年齡越小病程越短，髮病率越高，缺乏特異性癥狀體徵。③根治性手術切除率低。④髮病部位以胃竇為主，病理以組織分化差為主。⑤轉移早、預後差，5年生存率低。結論：青年人胃癌髮病率低，噁性度高，轉移早，誤診率高，欲提高青年人胃癌的生存率，關鍵是提高早期診斷率。
목적：탐토청년인위암발병특점급방치조시。방법：2005년1월-2013년1월수치위암환자75례，균위＜35세청년인，통과년령、성별、병정、림상증상、위경、병리특점、진단급치료진행회고성분석。결과：①청년인위암녀성발병솔명현고우남성。②조기증상불전형，오진솔고，년령월소병정월단，발병솔월고，결핍특이성증상체정。③근치성수술절제솔저。④발병부위이위두위주，병리이조직분화차위주。⑤전이조、예후차，5년생존솔저。결론：청년인위암발병솔저，악성도고，전이조，오진솔고，욕제고청년인위암적생존솔，관건시제고조기진단솔。
Objective:To explore the occurring characteristics and prevention and control measures of youth gastric cancer. Methods:75 patients with gastric cancer were selected from January 2005 to January 2013.They were youth under 35 years old. They were retrospectively analyzed by age,sex,course of disease,clinical symptoms,gastroscope,pathological characteristics, diagnosis and treatment.Results:①The morbidity of female youth gastric cancer was significantly higher than that of male.②The early symptoms were not typical,the misdiagnosis rate was high,the age was smaller,the course of disease was shorter,the morbidity was higher,the specific symptoms and signs were lack.③The radical resection rate was low.④The diseased part given priority to gastric antrum,the pathology given priority to poor tissue differentiation.⑤The metastasis was early and the prognosis was poor,5 years survival rate was low.Conclusion:The morbidity of youth gastric cancer is low;the malignancy degree is high;the metastasis is early;the misdiagnosis rate is high.In order to improve the survival rate of youth gastric carcinoma,the key is to improve the early diagnosis rate.
