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目的探讨中青年与老年胃癌的临床特征。方法回顾性分析我院1997年1月~2006年1月收治的214例胃癌患者的临床资料,比较中青年组和老年组的临床特征差异。结果中青年组女性所占比例较老年组为高,腹痛、上腹包块较老年组多见,腹胀、消瘦等症状较老年组少见;中青年组病程短于3个月的患者所占比例高于老年组;中青年组胃窦部癌发生率高于老年组,贲门胃底部癌发生率低于老年组;中青年组分化差的腺癌所占比例高于老年组,而分化好的腺癌比例低于老年组;中青年人胃癌大病灶多见,根治性切除率较老年组低。结论中青年与老年胃癌在性别、临床表现、病程、癌肿的部位及大小、分化程度等方面有不同的临床特点。
Objective To investigate the clinical features of gastric cancer in young and middle-aged patients. Methods The clinical data of 214 patients with gastric cancer admitted to our hospital from January 1997 to January 2006 were retrospectively analyzed. The clinical characteristics of the patients in middle-aged and younger age groups were compared. Results The percentage of young women in middle-aged and younger groups was higher than that in the elderly group. The abdominal pain and abdominal mass were more common in the elderly group than those in the elderly group. The incidence of abdominal pain and weight loss in the middle- Higher than the old group; middle-aged group, the incidence of gastric cancer was higher than the elderly group, gastric cardia gastric cancer incidence was lower than the elderly group; poorly differentiated group of young and middle-aged patients with adenocarcinoma than the elderly group, and good differentiation Of the proportion of adenocarcinoma than the elderly group; young and middle-aged patients with gastric lesions more common, radical resection rate lower than the elderly group. Conclusions There are different clinical characteristics in young and old patients with gastric cancer in terms of gender, clinical manifestations, course of disease, location and size of cancer, degree of differentiation and so on.