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目的：分析老年人消化性溃疡的临床特点、溃疡大小与部位、溃疡大小与良恶性的关系以及溃疡部位与良恶性的关系。方法：以我院１９８０年１月至１９９６年１２月间经胃镜和手术证实的４７６例６０岁以上消化性溃疡病人为研究对象。结果：老年消化性溃疡６３．０３％的临床症状无明显规律性及节律性，无症状者占６．９３％，以并发症就诊者占１１．７６％，并发症中以消化道出血多见，占４３． ０７％。老年人胃溃疡的患病率高于十二指肠溃疡。小于２ｃｍ的溃疡， ８５． １４％位于十二指肠球部，大于２ｃｍ的溃疡，４７．０６％位于胃体。恶性溃疡主要发生在胃窦及胃体部，尤其是胃窦部及大于２ｃｍ的大溃疡中。结论：老年人消化性溃疡临床症状不典型，小于２ｃｍ的溃疡以球部为多，大与２ｃｍ的溃疡以胃体多见，恶性溃疡以胃体及胃窦多见，大多数直径大于２ｃｍ。
Objective: To analyze the clinical characteristics of peptic ulcer in the elderly, the relationship between ulcer size and location, ulcer size and benign and malignant as well as the relationship between ulcer and benign and malignant. Methods: A total of 476 patients with peptic ulcer over the age of 60 were enrolled in our hospital from January 1980 to December 1996 after gastroscopy and surgery. Results: 63.03% of elderly patients with peptic ulcer clinical symptoms and no rhythmic, asymptomatic accounted for 6.93%, 11.76% of patients with complications, complication of gastrointestinal bleeding more common , Accounting for 43. 07%. The prevalence of gastric ulcer in the elderly is higher than that of the duodenal ulcer. Ulcers less than 2 cm, 85. 14% in the duodenal bulb, more than 2cm ulcer, 47.06% in the corpus. Malignant ulcers occur mainly in the gastric antrum and body parts, especially in the antrum and large ulcers larger than 2 cm. Conclusion: The clinical symptoms of peptic ulcer in the elderly are not typical. The ulcer with the diameter less than 2cm is dominated by the bulbous part. The gastric ulcer with large and 2cm is more common. The malignant ulcer is more common with the gastric body and antrum, most of which are larger than 2cm in diameter.