军医进修学院学报2011，Vol.32Issue(9)：908-910,915,4.DOI:CNKI:11-3275/R.20110503.0932.001
老年人胃癌的临床分析
Clinical analysis of senile patients with gastric cancer
摘要
Abstract
Objective To study the clinical manifestations, operation, and prognosis of senile patients with gastric cancer. Methods A total of 209 patients with gastric cancer admitted to our department were divided into senile group(≥65 years) and non-senile group, and their clinical data were analyzed and compared. Results Gastric cancer was diagnosed in 63.2% of the patients. The percentage of asymptomatic patients was significantly higher in senile group than in non-senile group(23.5% vs 16.9%, P<0.05). The percentage of coexistent diseases was significantly higher in senile group than in non-senile group(81.8% vs 64.9%, P<0.05). The surgical resection rate, radical resection rate, perioperative complication rate and mortality were 90.9%, 73.5%, 14.4% and 3.0% in senile group, and 97.4%, 89.6%,7.8% and 0% in non-senile group(P<0.05). No significant difference was observed in 5-year survival rate between the two groups (59.7% vs 61.1%, P>0.05). Multivariate analysis showed that TNM stage and radical surgery degree were the independent factors for the prognosis of gastric cancer patients(P<0.05). Conclusion Asymptomatic gastric cancer and coexistent diseases are commonly found in senile gastric cancer patients. The operation risk is greater in senile gastric cancer patients than in non-senile gastric cancer patients. There is no significant difference in prognosis between senile and non-senile gastric cancer patients. TNM stage and radical surgery degree are related with the prognosis of gastric cancer patients.关键词
胃肿瘤/老年人/手术/预后Key words
Stomach Neoplasms/ Aged/ Surgery/ Prognosis分类
医药卫生引用本文复制引用
张勇,陈凛..老年人胃癌的临床分析[J].军医进修学院学报,2011,32(9):908-910,915,4.
