摘要
目的探讨老年慢性胃炎（ＣＧ）的临床病理特点及与胃癌的关系。方法对胃镜病理诊断为老年ＣＧ９５３例就ＣＧ类型、Ｈｐ检出率、肠化及肠化亚型、不典型增生与非老年ＣＧ组进行对照分析，χ２检验。结果老年ＣＧ有如下特点：①老年慢性萎缩性胃炎（ＣＡＧ）较多见，占６２．０１％，非老年组３２．５９％（Ｐ＜０．０１）；②Ｈｐ检出率较低，占３１．８８％，对照组４６．３５％（Ｐ＜０．０１）；③在ＣＡＧ中老年组肠化多见，占７８．３４％，对照组６４．２４％（Ｐ＜０．０１）；④在肠化亚型中，Ⅱｂ型在老年组多见，占３７．８４％，对照组２４．４７％（Ｐ＜０．０１）；⑤在ＣＡＧ中，不典型增生在老年组较多见，占６．２５％，对照组３．１９％（Ｐ＜０．０５）。结论提示了老年ＣＧ其发展过程与Ｈｐ感染有密切关系，以及Ｈｐ感染是老年人胃癌特别是肠型胃癌高发的内在原因。
Objective To probe into the characteristics of chronic gastritis (CG) in elderly patients.Methods The clinico pathologic characteristics of elderly CG patients were studied in 953 cases.The difference between the elderly and the control group in the types and the degree of CG, the occurrence of Hp, metaplasia and dysplasia were discussed. Results ①Chronic atrophic gastritis (CAG) was higher in the elderly patients (67 01%) than in the control (32 59%), P <0 01;②Hp was detected in 31 88% of the elderly patients which was lower than that of the control group (46 35%), P <0 01;③Metaplasia was found in 78 01% of the elderly patients, which was higher than that of the control (64 24%), P <0 01 ;④In the elderly patients,metaplasia Ⅱ b was (37 84%) higher than the other types (24 47%), P <0 01;⑤Dysplasia was higher in the elderly patients (6 25%) than in the control (3 19%), P <0 05.Conclusions The characteristic of CG in elderly patients may be related to the more frequent occurrence of gastric cacinoma. The result also showed the relationship between Hp and CG in the elderly.
出处
《实用老年医学》
CAS
1997年第2期76-77,共2页
Practical Geriatrics
关键词
胃炎
萎缩性胃炎
幽门螺杆菌
肠上皮化生
病理
Chronic gastritis Atrophic gastritis Helicobacter pylori Metaplasia Dysplasia
