老年与中年食管癌内镜和病理的对照研究

The Comparative Research on Endoscope Findings and Pathology of Carcinoma of Esophagus in Elderly and Middle Aged Patients

目的：探讨老年食管癌与中年食管癌内镜和病理的对应关系。方法：回顾性分析８４例老年食管癌（≥６０岁）和６０例中年食管癌（＜６０岁）在性别、部位、大小、内镜分型和病理分型间的相应关系。结果：两组在发病部位、病灶大小、病灶类型、浸润范围及组织学分型上均有显著性差异（Ｐ＜０．０５）。结论：老年食管癌多发于食管下段，以隆起型病灶为主，小病灶相对多见，腺癌发生率上升；而中年食管癌多发于食管中段，也以隆起型病灶多见，但弥漫浸润型病灶明显增多，以鳞癌为主。

Objective:To find the corresponding relation between endoscope findings and pathology of carcinoma of esophagus in elderly and middle aged patients.Method:The corresponding relation between sexuality,predilecting sites,size,endoscopic classification and pathologic classification were analysed retrospectively in 84 elderly patients(≥60years old)and 60 middle aged patients(<60 years old)with carcinoma of esophagus.Results:There was significant difference in the predilecting sites,focal size, focal classification,erosive extent and histological typing between the two groups(P<0.05).Conclulson:It had happened most frequently that carcinoma of esophagus lay on the lower segment of esophagus,focus was small and projecting,incidence of adenoid carcinoma was raised in the aged patients.It had happened most frequently that carcinoma of esophagus lay on middle segment of esophagus,focus was projecting with diffuse infiltration;squamous carcinoma was more frequently seen and the prognosis in middle aged patients was unfavourable.