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复合性溃疡属特殊类型的消化性溃疡,为探讨其临床表现在老年人与非老年人有何异同,对比分析经内镜诊断的老年复合性溃疡106例和非老年复合性溃疡388例,结果表明,老年组腹胀、纳差、消瘦、无腹痛较对照组多(P<0.01),反酸较对照组低(P<0.01)。老年组并消化道出血高于对照组(P<0.01),并幽门梗阻低于对照组(P<0.05),两组均无穿孔病例,胃粘膜非典型增 生和癌变率低(P>0.05)。复合性溃疡胃粘膜非典型增生检出率低可能是其癌变率低的重要原因。
Complex ulcer is a special type of peptic ulcer, in order to explore the clinical manifestations of the elderly and non-elderly similarities and differences between the endoscopic diagnosis of senile complex ulcer in 106 cases and 388 cases of non-elderly composite ulcer, the results The results showed that abdominal distension, anorexia, weight loss and no abdominal pain in the elderly group were more than those in the control group (P <0.01). Acid reflux was lower than that in the control group (P <0.01). The elderly group had higher gastrointestinal bleeding than the control group (P <0.01), and the pyloric obstruction was lower than that of the control group (P <0.05). There were no perforation cases, . The low detection rate of gastric mucosal atypical hyperplasia in complex ulcers may be an important reason for its low rate of canceration.