纤维胃镜诊断老年人胃癌106例分析

Analysis on 106 Cases of the Aged with Carcinoma Diagnosed by Fibergastroscope

经纤维胃镜诊断１０６例老年人胃癌，占同期老年人受检人数的１２０３％（１０６／８８１），显著高于同期青壮年人胃癌检出率的０．８４％（６０／７１５５），Ｐ＜０．０１．以６０～６４岁年龄组检出率最高（４０．５７％），男女之比为１．２：１，提示老年女性胃癌并非少见．镜下癌肿以ＢｏｒｒｍａｎｎⅡ、Ⅲ为主，好发部位为胃窦部（５１．８９％），纤维胃镜活组织检查阳性率为８８．６８％．病理类型绝大多数为腺癌．其临床表现多不典型，且病程短，提出应放宽老年人纤维胃镜指征．对老年人上腹部症状轻微者要引起重视．对近期症状加重者首选纤维胃镜检查．

cases of gastric carcinoma have been found among 881 old people (≥60 - year old) with gastroscope. The positive rate (12. 03 % ) is significantly higher than that of the youngergroup (60/7155, 0. 84%, P < 0. 01 ) and the highest appears among 60 - 64 years old group(40. 57 % ). The ratio of male to female is 1. 2 to 1, which shows it is not rare for the old femalesto develop gastric carcinoma. Borrmann Ⅱ and Ⅲ are common types of the carcinoma, most ofthem are adenocarcinoma and, over half of them, the attacked location is gastric antrum(51. 89 % ). The paper suggests that the endoscopy should be considered first for the old patientswith upper abdomen symptom.