老年人胃癌临床病理分析  

Clinicopathological features of gastric carcinoma in elderly patients

作　　者：姜海毅[1] 丁红光[1] 田晓卫[1] 鲁杰[1] 周少飞[1] 

机构地区：[1]山东省青岛大学医学院附属青岛市市立医院外科特三,266011

出　　处：《腹部外科》2008年第6期352-353,共2页Journal of Abdominal Surgery

摘　　要：目的探讨老年人胃癌的临床及病理特点,旨在为其合理诊治提供依据。方法将经手术治疗的324例胃癌病人(≥60岁)入选老年组,81例青年(<44岁)胃癌病人作为对照。对比分析两组在临床特点及组织、病理学方面的差异。结果两组在临床症状、肿瘤部位、浸润深度、病理分期方面差异无统计学意义(P>0.05);在性别构成、病史长短、术前合并症、术后并发症、手术类型、住院时间等方面差异有统计学意义(P<0.05)。根治性手术后,老年组与青年组3年生存率差异无统计学意义(P>0.05)。结论老年胃癌病人在临床及病理学方面并未显示出比青年病人更差的结果。老年人胃癌预后的改善仍依赖于早期诊治水平的提高。Objective To investigate the erly patients. Methods The clinicopathological clinicopathological features of gastric carcinoma in elddata of 324 elderly patients（aged≥60 years）with gastric cancer undergoing surgical procedure was retrospectively reviewed, and compared to those 81 young patients （aged〈44 years）with the same diagnosis. Results There were no statistically differences in symptoms, location of the primary lesions, invasion depth or disease stages （P〉0. 05）, but there was significant difference in gender ratios, symptom history, coexisting diseases, morbidity, type of surgical procedure,and hospital stay between the two groups（P〈0. 05）. Between the two groups, there was no statistically difference in 3-year survival rate of those patients who had received radical surgical procedures. Conclusion There seemed no worse clinicopathologieal characteristics of the gastric carcinoma in elderly patients in this study as compared to those of the youth. For those elderly patients, the well prognostic results were still determined by early diagnoses.

关 键 词：胃肿瘤 老年人 对比研究 

分 类 号：R782[医药卫生—口腔医学] R735.2[医药卫生—临床医学]