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本院954例经内窥镜证实的十二指肠球部溃疡(下称球溃)中.60岁以上者40例。占4.18%.其临床特点是无规律的上腹疼痛、食欲减退、解柏油样大便为其主诉。体征上缺乏明确压痛点而表现为弥漫性压之不适。老年组球溃合并萎缩性胃炎虽较青壮年组高、但与同龄组非球溃患者发病率相近。因此其发病率随年龄增加而增多。与球溃存在与否无关,复合性溃疡发病率与青壮年相比、老年组显著增高。球溃合并胃癌较一般人胃癌发病率低,其原因可能系球溃时的高酸可抑制癌细胞的发育。
954 cases of endoscopic confirmed duodenal ulcer (hereinafter referred to as ball ulcer) .60 years of age in 40 cases. Accounting for 4.18% .The clinical features of irregular upper abdominal pain, loss of appetite, solution-like stool as its chief complaint. The lack of clear signs of tenderness and the performance of diffuse discomfort. Although the incidence of pelvic collapse with atrophic gastritis was higher in the elderly group than in the young group, the incidence of non-ulcer patients in the same age group was similar. Therefore, its incidence increases with age. There was no correlation with ulceration of the ball, and the incidence of combined ulcer was significantly higher in the elderly group than in the young adults. Ball ulcer associated with gastric cancer than the average incidence of gastric cancer is low, the reason may be due to ball ulcer acid can inhibit the development of cancer cells.