老年人恶性肿瘤的临床分析

CLINICAL ANALYSIS OF MALIGNANT TUMORS IN ELDERLY PATIENTS

目的 进一步了解老年恶性肿瘤患者的临床状况。方法 对华山医院老年科 1993～ 1998年门诊及住院的恶性肿瘤患者共 15 2例进行调查。结果 老年人恶性肿瘤以消化系肿瘤占首位 ,其次是呼吸系、泌尿生殖系肿瘤。老年人恶性肿瘤发病男性高于女性 ,两者差别有显著意义。从年龄构成看以 6 0～ 79岁最多。结论 恶性肿瘤的有关症状发生率以食管癌 ,胰腺癌及膀胱癌为高 ,有关体征发生率除胰腺癌和前列腺癌外均低 ,各常见肿瘤的辅助诊断中 ,消化道肿瘤以 X线及内窥镜为主要诊断手段 ;肝癌和胰腺癌几乎均由 B超和 CT诊断 ;肺癌绝大多数由 X线和 CT确诊 ;膀胱癌大部分由内窥镜诊断 ;前列腺癌穿刺阳性率达 90 %。

Objective To get more information of theclinical situation of malignant tumors in elderly patients.Methods Analyse 153 cases of malignant tumors in the out and in patients of the geriatrics department of Hua shan hospital form 1993 to 1998.Results The most commonly seen malignant tumors in elderly patient were those of digestive system,and then the respiratory and urogenital systems.In different organs,carcinoma of lung,stomach and colon were more common,about 21 2 %,17 8 % and 17 1 % respectively.The incidenece of malignant tumors of men was higher than that of women.According to the age constitution,the attacking age is 60 79.The appearence of symptoms were almost 100% in carcinoma of panceras,oesophagus and urinary bladder.Conclusion Among all diagnostic measures endoscopes and x ray examination are used more frequently in digestive system,and almost every liver and pancreas cancer is discovered by B ultrasonic and CT examination.X ray and CT are always used in pulmonary carcinoma.The positive rate of prostatic puncture are 90 % in prostatic carcinoma.