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目的探讨青年和老年胃癌患者的胃镜及病理特点。方法对行胃镜检查并经病理确诊的青年胃癌(≤35岁)及老年胃癌(≥60岁)患者的临床资料进行分析,比较胃镜结果及病理特点在两个年龄段的差异。结果青年组胃癌患者女性占60.71%;胃窦癌占67.86%,贲门癌占3.57%,印戒细胞癌占35.71%;无高、中分化型癌。老年组胃癌患者女性占21.24%;胃窦癌占46.41%,贲门癌占18.95%,印戒细胞癌占17.65%。两组比较差异有显著性(P<0.05或0.001)。结论胃癌的发病特点与患者年龄有关。
Objective To investigate gastroscopic and pathological features of young and old patients with gastric cancer. Methods The clinical data of patients with gastric cancer (≤35 years) and elderly patients with gastric cancer (≥60 years) diagnosed by gastroscopy were analyzed. The difference of gastroscopy results and pathological features in two age groups was compared. Results There were 60.71% of women with gastric cancer in the youth group, 67.86% of the patients with gastric cancer, 3.57% of the cardia cancer, 35.71% of the signet-ring cell carcinoma, and no high or moderately differentiated cancer. Elderly patients with gastric cancer accounted for 21.24% of women; gastric cancer accounted for 46.41%, cardia cancer accounted for 18.95%, signet ring cell carcinoma accounted for 17.65%. The difference between the two groups was significant (P <0.05 or 0.001). Conclusion The incidence of gastric cancer is related to the patient’s age.