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目的:探讨老年消化性溃疡的临床与胃镜特点。方法:回顾性分析我院消化内镜中心2007年1月至2009年1月经胃镜检出的老年消化性溃疡患者,并与同期行胃镜检查的60岁以下的中青年消化性溃疡患者进行对比。结果:老年组139例,胃溃疡68例,十二指肠球部溃疡57例,复合溃疡14例;中青年组110例,胃溃疡32例,十二指肠球部溃疡70例,复合溃疡8例。两组相比胃溃疡差异具有统计学意义(P<0.01)。老年组胃体溃疡占胃溃疡的36.8%,直径>2cm的溃疡占29.4%,并发症以上消化道出血为主,占43.9%,差异均较中青年组有统计学意义(P<0.05,P<0.05,P<0.01)。结论:老年消化性溃疡临床症状不典型,伴随疾病多,溃疡部位由幽门向贲门推移,溃疡面积较大,并发症多且较严重。
Objective: To investigate the clinical and endoscopic features of peptic ulcer in the elderly. Methods: A retrospective analysis of our hospital digestive endoscopy center from January 2007 to January 2009 by gastroscopy detected peptic ulcer patients, and with the same endoscopy under the age of 60 patients with peptic ulcer patients were compared. Results: The elderly group of 139 cases, 68 cases of gastric ulcer, 57 cases of duodenal ulcer in 57 cases, complex ulcer in 14 cases; middle-aged group of 110 cases, 32 cases of gastric ulcer, duodenal ulcer in 70 cases, complex ulcer 8 cases. The difference between the two groups was statistically significant (P <0.01). Gastric ulcers accounted for 36.8% of gastric ulcer and 29.4% of ulcer with diameter> 2cm in elderly group, and the complication was mainly gastrointestinal bleeding, accounting for 43.9%. The differences were statistically significant (P <0.05, P <0.05, P <0.01). Conclusion: The clinical symptoms of peptic ulcer in the elderly are not typical, accompanied by many diseases, the ulcer site changes from the pylorus to the cardia, the ulcer area is larger, the complications are more and more serious.