探讨不同年龄组胃癌患者的临床病理特征和预后

崔蕊，曹勇

（陕西省咸阳兴平市四0 八医院，陕西 咸阳，713100）

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摘要：

目的 探讨不同年龄组胃癌患者临床病理特征及预后情况，为临床诊治提供参考依据。方法 以2013 年6 月至2017 年 6 月我院收治的110 例胃癌患者为研究对象，根据不同年龄阶段分为三组，A 组年龄≤40 岁（22 例），B 组年龄40~70 岁（65 例），C 组年龄≥70 岁（23 例）。对比三组临床病理特征及预后情况。结果 三组患者性别分布、病理分型、术后并发症发生率及 死亡率比较，差异存在统计学意义（P<0.05）；三组患者肿瘤发生部位、早期胃癌诊出率、Borrmann 分型、TNM 分期、手术方式、5 年内生存率和生存时间比较，差异无统计学意义（P>0.05）。结论 各年龄组间胃癌患者预后无明显差异，但随着年龄增长， 其术后并发症发生率和死亡率逐渐增高，早发现、早诊断、早手术治疗对改善患者预后具有十分重要的意义。

关键词：胃癌；年龄；临床病理特征；预后

中图分类号：R735.2 文献标志码：A文章编号：2096-1413(2018)02-0009-03

Analysis of the clinicopathological features and prognosis of gastric cancer patients in different age groups
CUI Rui, CAO Yong
(408 Hospital in Xingping, Xianyang 713100, China)

ABSTRACT: Objective To investigate the clinicopathological features and prognosis of patients with gastric cancer in different age groups, so as to provide reference for clinical diagnosis and treatment. Methods A total of 110 cases of gastric cancer patients treated in our hospital from June 2013 to June 2017 were selected as the research objects, and divided into three groups according to the different age, the age of group A was less than 40 years old (22 cases), the age of group B was from 40 to 70 years old (65 cases), the age of group C was more than 70 years old (23 cases). The clinicopathologic features and prognosis of the three groups were compared. Results There were statistically significant differences in sex distribution, pathological classification, incidence of postoperative complications and mortality in the three groups (P<0.05). There was no significant difference in the location of tumor, the rate of early gastric cancer, the Borrmann classification, the TNM stage, the operative way, the 5-year survival rate and the survival time in the three groups (P>0.05). Conclusion There was no significant difference in prognosis of gastric cancer among all age groups, however, the incidence of postoperative complications and mortality increase with the age; early detection, early diagnosis and early surgical treatment are of great significance in improving the prognosis of the patients.
KEYWORDS: gastric cancer; age; clinicopathological features; prognosis

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