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目的探讨80岁以上老年人消化道内镜检查的必要性和安全性。方法回顾2005年全年所做80岁及其以上的老年人胃镜及结肠镜检查88例,对其症状、内镜检查结果及检查的安全性进行分析。结果88例内镜检查中,恶性肿瘤检出率为46.6%(41/88例)[如包括癌前病变则高达63.6%(56/88例)]。有报警症状者肿瘤检出率远高于无报警症状者,分别为66.7%、25.6%(P<0.01)。检查中无1例发生并发症。结论80岁及其以上患者行消化道内镜检查是十分有价值的,也是安全的。
Objective To investigate the necessity and safety of gastrointestinal endoscopy in the elderly over 80 years old. Methods The retrospective analysis of 88 cases of gastroscopy and colonoscopy in the elderly aged 80 years and older in 2005 was conducted. The symptoms, the results of endoscopy and the safety of the examination were analyzed. Results In 88 cases of endoscopy, the detection rate of malignant tumors was 46.6% (41/88 cases) [up to 63.6% (56/88 cases) including precancerous lesions]. The detection rate of tumor with alarm symptoms was much higher than those without alarm symptoms, which were 66.7% and 25.6% respectively (P <0.01). None of the complications occurred during the examination. Conclusion The endoscopic diagnosis of gastrointestinal tract in patients 80 years and above is very valuable and safe.