80岁以上老年人消化道内镜检查临床意义  

Significance of endoscopy examination in more than 80 years-old patients

作　　者：贾勇[1] 郑邦海[1] 刘兰珍[1] 

机构地区：[1]安徽医科大学附属省立医院安徽省立医院消化内科,合肥230001

出　　处：《中国临床保健杂志》2006年第6期570-571,共2页Chinese Journal of Clinical Healthcare

摘　　要：目的探讨80岁以上老年人消化道内镜检查的必要性和安全性。方法回顾2005年全年所做80岁及其以上的老年人胃镜及结肠镜检查88例,对其症状、内镜检查结果及检查的安全性进行分析。结果88例内镜检查中,恶性肿瘤检出率为46.6%(41/88例)[如包括癌前病变则高达63.6%(56/88例)]。有报警症状者肿瘤检出率远高于无报警症状者,分别为66.7%、25.6%(P<0.01)。检查中无1例发生并发症。结论80岁及其以上患者行消化道内镜检查是十分有价值的,也是安全的。Objective To discuss necessity and security of endoscopy examination in more than 80 yearsold patients. Methods We had investigated 88cases with age more than 80 who undernent gastrointestinal tract endoscopy in the year of 2005,in order to analyse endoscopic diagnosis and its relationship with patients＇ clinical manifestation. Results Among 88 cases,pick-up rate for cancer was 46.6% （41/88cases）. It was up to 63.6% （50/ 88cases） if including precancerous focus. Carcinoma detective rate for patients with alarm symptoms was more higher than that of patients without alarm symptom （66.7% vs 25.6% ,P 〈 0. 05 ）. No complication occurred ia all cases. Conclusion Endoscopy examination for more than 80 years old patients has important velue with good security.

关 键 词：内窥镜检查 胃肠道 肿瘤 老年人 80岁以上 

分 类 号：R57[医药卫生—消化系统]