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目的通过中日两组病例对比分析,探讨老年人胃癌的临床X线特点,以提高早期诊断水平。方法收集经病理证实、术前作过胃双对比造影之老年人胃癌病例:日本北出病院40例,华东医院44例,就其临床及X线各类征象进行对比分析。结果中日两组病例中老年人胃癌分别为整个年龄组的35.6%及50.6%,主要症状以上腹痛、不适为最多见;病理类型以腺癌最多见;肿瘤发生部位以贲门部加胃体部占多数;X线征象中,局部粘膜纹破坏、胃小区消失,有特别重要的诊断意义。结论老年人仍是胃癌的好发人群,也有一定的临床X线特点,凡遇老年人不明原因上腹痛、不适时,应提高警惕,尽早进行老年人容易接受的胃双对比造影检查。
Objective To compare the clinical features of two groups of Chinese and Japanese patients to explore the clinical features of gastric cancer in elderly patients and to improve the early diagnosis. Methods A total of 40 cases of gastric cancer were collected from 40 patients in Japan and 44 patients in East China Hospital. The clinical and X-ray findings were compared and analyzed. Results The prevalence of gastric cancer in the two groups was 35.6% and 50.6% of the whole age group respectively. The main symptoms were abdominal pain and discomfort, and the most common pathological type was adenocarcinoma. The tumor location was mainly composed of cardia and gastric body Accounting for the majority; X-ray signs of local mucosal damage, disappearance of gastric area, a particularly important diagnostic significance. Conclusion The elderly are still predisposed to gastric cancer. They also have certain clinical features of X-ray. They should be vigilant when upper abdominal pain and discomfort are encountered due to unexplained senility. Early double-contrast contrast-enhanced gastric examinations should be conducted.