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目的 为提高老年人胃癌的防治水平 ,1985年 9月～ 1998年 7月开展了老年人直接胃镜临床普查及随访。在30 4 8例 6 0～ 93岁老年人 (平均 6 9 6 9岁 ) ,男性 2 898例 ,女性 15 0例中作胃镜随访 2 0 34例。方法 结合每年查体进行直接胃镜临床普查及随访。结果 共检出胃癌 92例 ,检出率为 3 0 2 %,早期胃癌占 6 3 0 4 %(5 8/ 92 ) ,胃镜随访中早期胃癌占随访检出胃癌的79 5 9%(39/ 4 9)。胃癌、早期胃癌的手术切除率为 88 89%及 10 0 %,5年生存率为 91 89%及 96 30 %。结论 在老年人中 ,开展直接胃镜临床普查及随访是提高早期胃癌诊断率及胃癌术后 5年生存率的安全可靠方法。
Objectives To improve the prevention and treatment of elderly patients with gastric cancer. From September 1985 to July 1998, we conducted a clinical survey and follow-up of elderly patients with direct gastroscopy. Among the 408 elderly patients aged 6 to 93 years (mean 6 969 years), 2,898 men, and 150 women, 2034 cases were followed up by gastroscope. Methods The clinical examination and follow-up of direct gastroscopy were performed in combination with annual examination. Results A total of 92 cases of gastric cancer were detected. The detection rate was 302%. Early-stage gastric cancer accounted for 634% (5 8/92). Gastric cancer during early follow-up was 79.9% (39/39) of gastric cancer. 4 9). The surgical resection rate of gastric cancer and early gastric cancer was 88 89% and 100%, and the 5-year survival rate was 91 89% and 96 30 %. Conclusions In the elderly, conducting direct gastroscopy clinical survey and follow-up is a safe and reliable method to improve the diagnostic rate of early gastric cancer and 5-year survival rate of gastric cancer.