胃镜普查及随访对老年人胃癌的诊断价值  

Evaluation of the clinical screening and the follow-up for early gastric cancer by gastroscopy in the elderly

作　　者：万军[1] 张子其[1] 朱成王 孟薇[1] 赵东海[1] 付永和[1] 张建萍[1] 王亚红[1] 吴本俨[1] 

机构地区：[1]解放军总医院南楼消化科,北京市100853

出　　处：《中华老年医学杂志》2001年第2期103-104,共2页Chinese Journal of Geriatrics

摘　　要：目的　通过对老年人进行胃镜普查及随访 ,提高老年人胃癌的防治水平。　方法　结合每年查体对 30 48例 6 0～ 93岁老年人进行胃镜普查 ,胃镜随访 2 0 34例 ,随访率为 6 6 7%。　结果　共检出胃癌 92例 ,检出率为 3 0 % ,其中早期胃癌 5 8例 ,占 6 3 0 % ;胃镜随访中检出早期胃癌 39例 ,占随访检出胃癌 49例的 79 6 %。胃癌、早期胃癌的手术切除率为 88 9%及 10 0 0 % ,5年生存率分别为 91 9%及 96 3%。胃镜检查并发症的发生率为 0 0 97%。　结论　开展胃镜普查及随访是提高老年人早期胃癌诊断率及胃癌术后Objective To evaluate the importance of clinical screening and follow up by direct gastroscopy for gastric cancer at an early and curable stage. Methods There were 3 048 elderly people aged from 60 to 93 years. The clinical screening by direct gastroscopy was performed according to the protocol. Some 2 034 of 3 048 (66 7%) patients were followed up every year. Results Ninety two were found to be gastric cancer patients by gastroscopy, with detectable rate being 3 0%. Fifty eight were diagnosed to have early gastric cancer, which accounted for 63 0% of the detected gastric cancer. Thirty nine among the 49 followed up cases(79 6%) were detected gastric cancer. The resectable rate was 88 9% for gastric cancer, and 100 0% for early gastric cancer. 5 year survival rate was 91 9% for gastric cancer, and 96 3% for early gastric cancer. The incidence of complication for gastroscopy was 0 097%. Conclusions The clinical screening and follow up by direct gastroscopy for persons over 60 years is safe and effective method for the diagnosis of gastric cancer. It could increase the 5 year survival rate, especially for early gastric cancer.

关 键 词：胃肿瘤 胃镜 胃癌 诊断 普查 

分 类 号：R735.2[医药卫生—肿瘤] R730.4[医药卫生—临床医学]