青年胃癌的诊断和治疗探讨  

Study of diagnosis and therapy of gastric carcinoma in young people

作　　者：王志华[1] 胡志鹏[1] 马俊文[1] 马赞林[1] 

机构地区：[1]宁夏医学院附属医院,宁夏银川750004

出　　处：《宁夏医学杂志》2005年第3期172-174,共3页Ningxia Medical Journal

摘　　要：目的　探讨青年胃癌的临床特点。方法　对 1985 - 2 0 0 3年 32例年龄≤ 35岁的青年组胃癌病人与年龄≥ 6 5岁老年组胃癌病人 4 1例进行回顾性对比分析。结果　青年组女性发病率高。青年组患者病史长于老年组患者。年轻是影响早期诊断的主要障碍 ,纤维胃镜是诊断胃癌有效的手段。青年胃癌应进行综合治疗 ,手术治疗仍为首选 ,应适度扩大根治范围。结论　改善青年人胃癌预后的主要途径应是争取早期发现 ,青年人对手术耐受性强 ,在治疗上适当扩大根治切除范围。Objective To study the characteristic o f clinical and clinicpathological finding of gastric carcinoma in young people. Methods We retrospectively reviewed clini copa thology findings and follow-up data of 32 gastric carcinoma patients i n young people (≤35 years of age) treated from 1985-2003, compared wi th 41 elderly patients (≥65 years of age).Results T he incidence of female in young people was high.Compared with elderly group, the time from the first symptom appeared to hospital was long er in young people. Age was mainly obstacle to early detection. Endos copy was good to early diagnosis. Curative resection was the best. Conclusion Young people can tolerate radical resection. Early diagnosis and radical resection can make better survival benefit.

关 键 词：青年 胃癌 治疗 

分 类 号：R735.2[医药卫生—肿瘤]