本文对129例35岁以下青年人胃癌进行了临床病理分析,提示青年人胃癌以女性多见。临床症状多不典型,最常见症状为无规律上腹痛、幽门梗阻症状,组织学类型以低分化腺癌最多见,占52.7%,其次为粘液腺癌。青年人胃癌易误诊误治,治疗效果欠佳。文中讨论了提高青年人胃癌诊断率的注意点及早期行根治手术对提高生存率的重要意义。 This article has carried on clinical pathological analysis to 129 cases of young people under 35 years of age, suggesting that young women have more common gastric cancer. Most of the clinical symptoms are not typical, the most common symptoms are irregular abdominal pain, pyloric obstruction symptoms, histological type is most common in poorly differentiated adenocarcinoma, accounting for 52.7%, followed by mucinous adenocarcinoma. Young people’s stomach cancer can be misdiagnosed and mistreated. The treatment effect is not good. This article discussed the importance of raising the diagnostic rate of gastric cancer in young people and the importance of early radical surgery in improving the survival rate.