Direct gastroscopy for detecting gastric cancer in the elderly  

直接胃镜临床普查及随访对老年人胃癌检诊的临床价值(英文)

作　　者：张子其[1] 万军[1] 朱成[1] 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]中国人民解放军总医院南楼消化科,北京100853

出　　处：《Chinese Medical Journal》2002年第1期117-118,154,共2页中华医学杂志（英文版）

摘　　要：Objective To evaluate the safety and effectiveness of direct gastroscopy for detecting gastric cancer.Methods Clinical screening by direct gastroscopy was performed for gastric cancer (GC) from September 1985 to July 1998. 3048 elderly people were screened. Their age ranged from 60 to 93 years, and 2034 of the 3084 were followed up.Results Ninety-two patients with gastric cancer were discovered by gastroscopy, representing 3.02% of the screened population. The rate of early gastric cancer (EGC) was 63.04% (58/92) of all gastric cancers detected. The rate was up to 79.59% (39/49) on follow-up, and was 74.14% (43/51) in asymptomatic patients with gastric cancer. The excision rate was 88.89% for patients with gastric cancer, and 100% for patients with early gastric cancer. The 5-year survival rate was 91.89% for patients with gastric cancer, and 96.30% for patients with early gastric cancer. Conclusion Clinical screening and follow-up by direct gastroscopy in persons over 60 years of age are a safe and effective method for raising the 5-year survival and detection rate of gastric cancer, especially early gastric cancer.目的　为提高老年人胃癌的防治水平 ,1985年 9月～ 1998年 7月开展了老年人直接胃镜临床普查及随访。在30 4 8例 6 0～ 93岁老年人 (平均 6 9 6 9岁 ) ,男性 2 898例 ,女性 15 0例中作胃镜随访 2 0 34例。方法　结合每年查体进行直接胃镜临床普查及随访。结果　共检出胃癌 92例 ,检出率为 3 0 2 %,早期胃癌占 6 3 0 4 %(5 8/ 92 ) ,胃镜随访中早期胃癌占随访检出胃癌的79 5 9%(39/ 4 9)。胃癌、早期胃癌的手术切除率为 88 89%及 10 0 %,5年生存率为 91 89%及 96 30 %。结论　在老年人中 ,开展直接胃镜临床普查及随访是提高早期胃癌诊断率及胃癌术后 5年生存率的安全可靠方法。

关 键 词：gastric cancer ·    gastroscopy  ·   elderly 

分 类 号：R735.2[医药卫生—肿瘤]