237例老年人胃癌癌前病变随访分析

Analysis of the Precancerous Lesion Related to Gastric Cancer in 237 Old People

目的 :分析老年人胃癌癌前病变的特点。方法 :2 37例经胃镜检查有胃癌癌前病变的老年病例 ,每半年作 1次胃镜检查 ,随访 3年。结果 :2 37例中 17例 ( 7.2 % )发生癌变 ,胃粘膜不典型增生 6例( 35 2 % ) ,胃溃疡 5例 ( 2 9 3% ) ,胃粘膜上皮化生 3例 ( 17 7% ) ,慢性萎缩性胃炎 2例 ( 11 8% ) ,手术后残胃 1例 ( 6% )。结论 :老年人胃癌癌前病变容易发生癌变 ,其中胃粘膜不典型增生癌变率最高。

Objective To study the clinical characteristic of the precancerous lesion related to gastric cancer in the old people.Methods 237 patients with precancerous lesion of stomach were checked by gastroscope twice a year for three years.Results 17 of 237(7.2%) patients suffered from gastric cancer in 3 year,which included gastric mucosa dysplasia in 6 cases,gastric ulcer in 5 cases,gastric mucosa metaplasia in 3 cases,atrophic gastritis in 2 cases and stump of stomach in 1 case,each of them took up 35 2%,29 3%,17 7%,11 8% and 6% in the total cancerating rate,respectively.Conclusion To the old people with precancerous lesion,the highest cancerating incidence takes place in gastric mucosa dysplasia.