摘要
目的 探讨胃癌的临床病理特点与患者年龄分布的关系。方法 选择 1975年 1月至 1999年 12月来我院进行胃镜检查并经病理确诊的胃癌患者 ,按 <30岁 ,30～ 39岁 ,～ 4 9岁 ,～ 5 9岁 ,～ 6 9岁 ,～ 79岁 ,≥ 80岁 7个年龄段 ,分为青年组 (≤ 35岁 )及老年组 (≥ 6 0岁 ) ,比较其临床病理表现在各年龄组的差异。结果 2 5年来胃镜胃癌的总检出率为 1.94 % (1195 / 6 14 75 ) ,平均年龄 5 8.4岁 ,按年龄从小至大分组 ,所占百分比分别为 1.6 %、6 .4 %、13.6 %、2 6 .9%、33.6 %、14 .5 %和 3.3%。胃癌的检出率在 70岁之前随年龄增加呈上升趋势 ,随后呈下降趋势 ;青年组 (≤ 35岁 )胃癌女性占 5 7.9% ,上腹痛的症状占 71.9% ,胃窦癌占 73.7% ,贲门癌占 7% ,黏液细胞癌和印戒细胞癌共占4 7.4 % ,无高、中分化型癌。老年组 (≥ 6 0岁 )女性占 19.5 % ,上腹痛的症状占 4 4 .5 % ,胃窦癌占 4 4 .5 % ,贲门癌占4 2 .5 % ,黏液细胞癌和印戒细胞癌共占 2 0 % ,分化较高的管状及乳头状腺癌共占 34.0 4 %。两组比较差异存在统计学意义 (P <0 .0 5 )。结论 胃癌的发病特点与胃癌患者的年龄有关。
Objective To study the relationship of the clinicopathologic characteristics of gastric cancer and age distribution,according to clinical data detected by endoscopy and diagnosed by pathyology in our hospital.Methods The patients with gastric cancer diagnosed by endoscopy and pathyology had been selected from Jan.1975 to Dec.1999.The patients were divided into 7 groups on the basis of age, <30 years old,30 39 years old,40 49 years old,50 59 years old,60 69 years old,70 79 years old,and≥80 years old.Results Total detected rate of gastric cancer by endoscopy was 1.94% ( 1 195 / 61 475 ) in the past 25 years,the average age was 58.4 years old.The detected rate of gastric cancer was 1.6% , 6.4% , 13.6% , 26.9% , 33.6% , 14.5% and 3.3% from small to large age groups.The detected rate of gastric cancer showed tendency to ascend before 70 years old,followed to descend.In young group(≤35 years old) female gastric cancer accounted for 57.9% ,the symptom of epigastric pain accounted for 71.9% ,the cancer of gastric antrum and sdenocarcinoma of gastric cardia accounted for 73.7% ,7%,mucilage cell carcinoma and signet ring cell carcinoma together accounted for 47.4% .In old group (≥60 years old) female gastric cancer accounted for 19.5% ,the symptom of epigastric pain accounted for 44.5% ,the cancer of gastric antrum and sdenocarcinoma of gastric cardia accounted respectively for 44.5% , 42.5% ,mucilage cell carcinoma and signet ring cell carcinoma accounted together for 20%.Comparison of the two groups showed that there was a significant difference (P< 0.05 ).Conclusion There is relationship between age and the clinicopathologic characteristics of gastric cancer.
出处
《临床荟萃》
CAS
北大核心
2003年第15期841-843,共3页
Clinical Focus
关键词
胃镜检查
胃癌
流行病学研究
gastroscopy,gastric cancer,epidemiological study
