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消化性溃疡与胃癌患病年龄及部位比较 被引量:19

COMPARATIVE STUDY OF PEPTIC ULCER AND GASTRIC CARCINOMA
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摘要 为比较消化性溃疡与胃癌的发生特点,分析本院近五年来3833例消化性溃疡与1260例胃癌在性别、年龄及病灶部位特点。结果显示,消化性溃疡平均发病年龄较胃癌早(P<0.05);在十二指肠溃疡为癌的670倍;胃角溃疡占胃溃疡的40.1%,而胃角癌仅占胃癌的5.3%;幽门溃疡占胃溃疡的15.0%;而幽门癌仅占胃癌的1.4%。同法比较,贲门癌高于贲门溃疡;胃体癌又高于胃体溃疡。提示消化性溃疡好发部位为癌的少发部位,反之亦然。三者均有显著差异。 The aim of this study was to compare the clinical characteristics between peptic ulcer and gastric carcinoma.3,833 cases of peptic ulcer and 1,260 cases of gastric carcinoma in Fujian Province Hospital during 1991~1995 were analyzed to study their age,sex ,and topological characteristics.Results disclosed that the mean age of patients with duodenal ulcer(DU)was 41 years,that with gastric ulcer(GU)was 49 and with gastric carcinoma (GC)58 years.The ratio of male to female in DU being 30∶1,in GU 51∶1 and in GC 31∶1.The incidence of DU:GU maintained 16∶1,DU occurred 670 times as many as duodenal cancer which was seen in only 3 instances.401% of gastric ulcers situated at gastric angle,while only 53% of gastric cancers located there;150% of GUs and 14% of GCs were found close to pylorus.As to lesions near cardia,carcinomas accounted for 296% of GC and 24% of GU.Concerning gastric body,330%  of GCs and 166% of GUs sited thereabout,suggesting that the site favorable to GU would be unfavorable to GC and vice versa,thereby the pathogenesis of DU,GU and GC appeared quite different.
机构地区 福建省立医院
出处 《中华消化内镜杂志》 1998年第3期139-141,I000,共4页 Chinese Journal of Digestive Endoscopy
关键词 消化性溃疡 胃肿瘤 年龄 部位 Peptic Ulcer Gastric Carcinoma
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