新疆老年与中青年胃癌临床特征的比较分析  

RETROSPECTIVE ANALYSIS OF THE CLINICAL CHARACTERISTICS OF THE GASTRIC CANCER IN THE OLD AND MIDDLE AGED PATIENTS IN XINJIANG

作　　者：艾孜买提.热合木吐拉[1] 帕尔哈提.沙依木 艾克热木.玉素甫 派祖拉.马木提 王海江[1] 

机构地区：[1]新疆医科大学附属肿瘤医院,乌鲁木齐830011

出　　处：《现代预防医学》2010年第16期3197-3199,共3页Modern Preventive Medicine

摘　　要：[目的]探讨老年与中青年胃癌不同的临床特征。[方法]回顾性分析2005年1月～2009年12月新收治的3009例胃癌患者资料,按照年龄分为老年组(≥60岁)和中青年组(﹤60岁)。[结果]老年组患者1835例(60.98%),中青年组患者1174例(39.01%);胃癌患者男女比例为1︰0.28,老年组中男性比例79.3%高于中青年中男性比例75.2%(χ2=7.066,P=0.008);胃癌患者汉族:维吾尔族:哈萨克族比例为13.8︰4.5︰1,老年组中民族构成比与中青年中民族构成比分布之间的差异无统计学意义(χ2=0.269,P=0.992);病变在胃体者占49.4%,其次为胃窦胃角占23.6%,贲门(食管胃交接处)胃底占13.4%,涉及多部位者占12.5%,残胃者占1.2%;病理类型构成比大小顺序为低分化腺癌45.7%、中分化腺癌31.4%、黏液腺癌12.9%、高分化腺癌8.5%、印戒细胞癌1.6%。[结论]老年组胃癌与中青年组的临床特征有所不同,在临床上应采取相适应的诊疗措施。[Objective] To study the different clinical characteristics between the old and middle aged patients with gastric carcinoma. [Methods] From January 2005 to December 2009,3009 patients with gastric carcinoma were treated with final diagnosis. The clinical characteristics of the patients were analyzed retrospectively. All gastric carcinoma patients according to age were divided to older age-group and middle age-group. There were 1835 patients（60.98%） in the older age-group and there were 1174 patients（39.01%） in the middle age-group. Male to female ratio were 1︰0.28. The proportion in the older agegroup male was 79.3%,and higher than in that in the middle age-group male（75.2%）（χ2 = 7.066,P = 0.008） . Han people,Uygur people to Hazakh people ratio were 13.8︰4.5︰1,there was no significant difference between the nation proportion in the older age-group and middle age-group（χ2 = 0.269,P = 0.992） . There were 49.4% of pathological changes on the corpus gastricum,then in sinus ventriculi was 23.6%,in cardia of stomach was 13.4%,in relate to multi-part of stomach was 12.5%,in gastric stump was 1.2%. The constituent ratio of Pathology types was poorly differentiated adenocarcinoma accounted for 45.7%,then moderately differentiated accounted 31.4%,mucus glandular carcinoma accounted for 12.9%,well-differentiated glandular carcinoma accounted for 8.5%,and signet-ring cell carcinoma accounted for 1.6%. [Conclusion] There are different clinical characteristics between the old and middle-aged patients with gastric carcinoma,and it is necessary to diagnose and treat measures in the clinical activity.

关 键 词：胃癌 临床特征 回顾性分析 

分 类 号：R735.2[医药卫生—肿瘤]