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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 analyze the clinical features of young people with gastric cancer and to explore the corresponding countermeasures. Methods The clinical data of 56 young patients with gastric cancer admitted to our hospital from December 1986 to December 1995 were retrospectively analyzed. Results The early symptoms were non-specific, the course of disease was short, and the pathological type was mainly in moderate and poorly differentiated carcinoma. The most common lesion was found in the lower part of the stomach. The radical resection was performed in 45 cases and the radical resection rate was 80.36%. The overall 1, 3, 5-year overall survival rates were 69%, 50% and 42% respectively. The 1,3,5-year survival rates after radical operation were 77%, 60% and 50% respectively. Conclusion Although young people have a lower incidence of gastric cancer, symptoms covert, high malignant, rapid development and other characteristics, but also have common gastric cancer. Through appropriate and reasonable treatment can still get more satisfactory results. How to further enhance our understanding of gastric cancer, improve the rate of early diagnosis, is the primary key to improving prognosis.