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目的:探讨青壮年胃癌的临床特点,评价不同手术方法与预后的关系。方法:回顾性分析我院1986年1月～1997年6月收治的48例青壮年胃癌的临床资料。结果:本组男女之比为1.29:1,早期胃癌2例(4.2％),疾病早期先后被误诊的达33例(68.8％),分化不良者36例(75％);癌肿切除率为72.9％(35/48),其中根治切除率43.8％(21/48),姑息性切除率29.2％(14/48);5年生存率为20.5％(9/44),其中根治性切除术后5年生存率为47.4％(9/19)。结论:青壮年胃癌具有症状隐匿、早期误诊率高、恶性程度高、根治性切除率低、女性患者相对较多等特点。早期诊断,加强以根治手术为主的综合治疗可以提高疗效。
Objective: To investigate the clinical characteristics of young adults with gastric cancer and to evaluate the relationship between different surgical methods and prognosis. Methods: A retrospective analysis of our hospital from January 1986 to June 1997 admitted 48 cases of young patients with gastric cancer clinical data. Results: The ratio of male to female was 1.29: 1 in 2 patients (4.2%). The early misdiagnosis of the disease was 33 cases (68.8%) and poorly differentiated patients were 36 cases (75%). The rate of cancerous resection was 72.9% (35/48), of which radical resection rate was 43.8% (21/48), palliative resection rate 29.2% (14/48), and 5-year survival rate was 20.5% (9/44) After 5 years survival rate was 47.4% (9/19). Conclusion: Gastric cancer in young adults has the characteristics of occult symptoms, early misdiagnosis rate, high malignant degree, low radical resection rate, and relatively large number of female patients. Early diagnosis, to strengthen the radical cure based comprehensive treatment can improve the curative effect.