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目的 总结分析青年组与老年组胃癌的临床病理学特征 ,探讨其治疗方法。方法 对我院 1975～ 1993年底收治的 2 15 0例胃癌病人进行回顾性分析 ,并以直接法计算其生存率 ,用统计学方法进行对比分析。结果 青年组与老年组发病性别差异具有显著性 (P <0 0 5 ) ,青年组女性多发 ,老年组男性多发 ;胃癌部位 ,青年组以胃窦部居多 ,老年组虽然以胃窦部为主 ,但胃体底部比例增高 ;青年组病理组织类型分化差 ,老年组好于青年组 ,分化好 ;青年组淋巴转移血行转移均高于老年组 ,其差异有显著意义 ;老年组胃癌治愈性切除率高于青年组胃癌。青年组与老年组预后均较差。结论 青年组与老年组的临床病理学特征决定整体病期均较晚 ,故预后差。因此 ,提高两组的治愈率 ,早期发现 ,早期诊断 ,减少晚期病例是关键
Objective To summarize the clinicopathological features of gastric cancer in the young and elderly groups and to explore its treatment. Methods A retrospective analysis of 2150 patients with gastric cancer admitted to our hospital from 1975 to the end of 1993 was conducted. The survival rate was calculated by the direct method and statistical analysis was performed. Results There was a significant difference in gender between the youth group and the old age group (P < 0.05). There were multiple females in the young group and more males in the old age group. Gastric sinusoids were more common in the gastric cancer and young groups than in the elderly group. However, the proportion of the bottom of the corpus callosum increased; in the youth group, the histological type differentiation was poor, the elderly group was better than the young group, and the differentiation was good; the lymphatic metastasis of the young group was higher than that of the old group, and the difference was significant; the elderly group had curative resection of gastric cancer. The rate is higher than that of the young group. The prognosis of the young and old groups was poor. Conclusion The clinical and pathological features of the young and old groups determine that the overall disease period is relatively late, so the prognosis is poor. Therefore, improving the cure rate in two groups, early detection, early diagnosis, and reducing late cases is the key