摘要
目的:分析青年人胃癌的临床及内镜特征,提高临床医生对本病的早期诊断。方法:对本院1996年9月～2004年8月共收治的69例36岁以下的青年人胃癌患者按不同年龄分为4组,即≤20岁组,21～25岁组,26～30岁组,31～35岁组,进行临床及内镜资料进行比较。结果:青年人胃癌的好发部位为胃窦及胃体部;病理生长方式以BorramnnⅢ型最多,其次为BorramnnⅣ型,年龄小者以Ⅳ型为主,年龄大者以Ⅲ型为主,差异有显著性,P<0.05。临床分期:Ⅲ、Ⅳ期为主,年龄越小,分期越晚,差异有显著性,P<0.001。组织学分型与年龄无明显相关。结论:青年人胃癌的早期症状无特异性,确诊时多已属晚期,提高对本病的认识,做到早期诊断、早期治疗,是提高疗效、改善预后的关键。
Objective: To analyze the clinical characteristics and the endoscopic feature of young patients with gastric carcinoma, improving the early diagnosis of it with clinical doctors. Methods: 69 young patients with gastric carcinoma under 36 years old who were treated in the department between September 1996 and August 2004 were divided into 4 groups,i.e.≤20 y, 21～25 y, 26～30 y, 31～35 y, and their clinical and endoscopic materials were compared. Results: The predilection site of gastric carcinoma of young patients was gastric antrum and body of stomach. As for pathologic manner of growth: most were the type of Borramnn Ⅲ, secondly were the type of Borramnn Ⅳ, for the younger patients most were the type of Borramnn Ⅳ, for the older patients were the type of Borramnn Ⅲ, there were significant difference in them: P < 0.05. As for clinical stage, most patients were in advanced stage Ⅲ and Ⅳ, the young patients, their clinical stage were later, there were significant difference, P < 0.001. The histological type has no significant correlation with the patient's age. Conclusion: The early symptom of young patients with gastric carcinoma has no specificity, most patients have been in advanced stage when they are diagnosed, and we should increase the awareness of the disease and make an earlier diagnosis and treatment which is the key to improve curative effect and prognosis.
出处
《岭南急诊医学杂志》
2005年第2期117-118,共2页
Lingnan Journal of Emergency Medicine
