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本文对我院1975年6月～1986年5月间收治的301例老年人胃癌进行临床分析,并与同期55例青年人胃癌比较。显示老年人胃癌男性显著多于女性(3.93:1),幽门窦部癌多(59.8％),大胃癌多(69.5％),高分化腺癌多(68.4％).晚期癌多(85.5％),手术切除率较低(67.1％),预后较差等临床特点。活疗应以积极手术治疗为主,争取扩大根治术和联合脏器切除术。化疗、辅助手术综合治疗是提高老年人胃癌生存率的有效途径。
In this article, clinical analysis of 301 elderly patients with gastric cancer admitted between June 1975 and May 1986 in our hospital was conducted and compared with 55 young patients with gastric cancer during the same period. There were significantly more males with gastric cancer than females (3.93:1), pyloric sinus cancers (59.8%), gastric cancers (69.5%), well-differentiated adenocarcinomas (68.4%), advanced cancers (85.5%). The surgical resection rate was lower (67.1%), and the prognosis was poor. Active treatment should be based on active surgery, and strive to expand radical surgery and combined organ resection. Comprehensive treatment with chemotherapy and adjuvant surgery is an effective way to improve the survival rate of elderly patients with gastric cancer.