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目的:探讨青年人胃癌的临床特征及误诊原因。方法:回顾性分析湖南省津市市人民医院近10 a误诊的青年人胃癌36例临床资料。结果:女性多发,临床症状无特征性,误诊率38.7%;病理分型以低分化腺癌为主,91.7%为进展期胃癌,61.1%伴有转移,手术切除率38.9%,5 a存活率19.4%。结论:掌握青年人胃癌的临床特点,提高警惕性,加大胃镜的筛查范围,做好随诊工作是减少误诊的重要措施。
Objective: To investigate the clinical features and misdiagnosis of gastric cancer in young people. Methods: The clinical data of 36 cases of gastric cancer in young people misdiagnosed in Jinhua People’s Hospital of Hunan Province during the past 10 years were retrospectively analyzed. Results: There were many women with no clinical symptoms. The rate of misdiagnosis was 38.7%. The pathological type was poorly differentiated adenocarcinoma, 91.7% was advanced gastric cancer, 61.1% with metastasis, the rate of resection was 38.9% and the survival rate was 5 years 19.4%. Conclusion: It is an important measure to reduce the misdiagnosis that mastering the clinical features of young people with gastric cancer, improving their vigilance, and enlarging the scope of gastroscope screening.