老年人消化性溃疡336例纤维胃镜诊断分析

AN ANALYSIS OF GASTROSCOPIES IN 336 AGED PATIENTS WITH PEPTIC ULCER

根据我院1862例老年人纤维胃镜检查结果,对其中消化性溃疡336例进行分析。本文男:女为5.46:1。胃溃疡216例,在75岁前发生率逐渐增长,而75岁后有减少趋势;部位以胃角多见,其次为胃体、胃窦、幽门管及小弯等。十二指肠溃疡120例,发生率随年龄增长逐渐减少。在老年人消化性溃疡的检查中,上消化道造影阳性率低,远不及胃镜;胃镜与病理活检的符合率也只54.2%。老年人消化性溃疡的临床症状常不典型,巨大溃疡多见。

Among 1862 agcd patients of gastroscopies, 336 were round to suffcr from peptic ulcer. Of the 336 cases, 216 were gastric ulcer, 120 duodenal ulcer; 284 were male, 52 female with a male to female ratio of 5.46 : 1. Incidence of gastric ulcer was increasing between aged 60 and 75 years, and decreasing after aged 75 years. Gastric ulcer was situated on the incisura angularis, body, antrum, pylorus, lesser curvature and so on in order. Incidence of duodenal ulcer was decreasing after aged 60 years. In investigation of aged patients with peptic ulcer, positive ratio of gastrointestinal radiography was far lower than endoscopy, coincidence ratio was only 54.2% between endoscopy and biopsy. The clinical manifestation was usually atypical, and giant ulcer was very common in aged patients with peptic ulcer.