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目的探讨不同年龄段胃癌患者的胃镜及病理特点,为提高胃癌的检出率提供临床实验依据。方法将行胃镜检查并经病理确诊的胃癌患者按年龄分成青、中年组(12~59岁)和老年组(60~78岁),对所有患者的临床资料进行对比;通过胃镜检查,比较胃镜结果及病理特点,并对各年龄段的差异进行比较分析。结果青、中年组胃癌患者男女比率为2.11∶1,老年组为3.3∶1;各年龄段胃窦的发病率都占较高比例,青、中年组胃窦发病率明显高于老年组,而老年组贲门发病率明显高于青、中年组,两组比较差异有统计学意义(P<0.05),从病理类型看,各年龄组高、中分化型腺癌的检出率都较高,在青、中年组发现恶性程度较高的未分化癌。结论不同年龄段胃癌的发病情况各具特点,应早检查、早诊断以提高胃癌的检出率。
Objective To investigate gastroscopic and pathological features of gastric cancer patients of different ages and to provide clinical experimental evidence for improving the detection rate of gastric cancer. Methods Gastric cancer patients who underwent gastroscopy and were diagnosed by pathology were divided into young and middle-aged patients (aged from 12 to 59) and elderly patients (aged 60 to 78 years) according to their age. The clinical data of all patients were compared. By gastroscopy, Gastroscopy results and pathological features, and comparative analysis of the differences between the age groups. Results The ratio of male to female in gastric cancer was 2.11:1 in middle-aged and middle-aged patients, and 3.3:1 in elderly patients. The incidence of gastric antrum in all ages accounted for a high proportion, and the incidence of gastric antrum was significantly higher in young and middle-aged patients than in elderly patients , While the incidence of cardia in the elderly group was significantly higher than that of the young and middle-aged group, the difference between the two groups was statistically significant (P <0.05). From the pathological type, the detection rate of high and moderately differentiated adenocarcinoma Higher, in the young, middle-aged group found a higher degree of malignancy of undifferentiated carcinoma. Conclusion The incidence of gastric cancer at different ages have their own characteristics, should be checked early, early diagnosis to improve the detection rate of gastric cancer.