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目的分析老年人胃癌的临床特点以及影响预后的各种因素,更好的认识老年人胃癌的特征,为我们的诊断和治疗提供参考,从而改善他们的生存率。方法收集1994～1998年我院收治的老年人(≥65岁)胃癌356例,对预后进行单因素和Cox回归模型分析。结果老年人胃癌患者多为男性,症状以上腹疼痛、食欲减退和饱胀不适多见,病程长,确诊时多为晚期。多因素分析显示,年龄、分期、手术切除与预后有关。结论对于老年人胃癌早检查,早诊断是关键。尽可能实施D2式淋巴结清扫的胃癌根治术对提高五年生存率是十分必要的,对无根治手术条件的病人,姑息性切除手术也能改善预后。
Objective To analyze the clinical characteristics of the elderly patients with gastric cancer and prognosis of various factors, better understanding of the characteristics of gastric cancer in elderly patients, provide a reference for our diagnosis and treatment, thereby improving their survival rate. Methods A total of 356 elderly patients (≥65 years) with gastric cancer admitted to our hospital from 1994 to 1998 were recruited. The prognosis was analyzed by single factor and Cox regression model. Results The elderly patients with gastric cancer mostly male, the symptoms of upper abdominal pain, loss of appetite and fullness discomfort more common, longer duration, mostly late diagnosis. Multivariate analysis showed that age, staging, surgical resection and prognosis. Conclusion Early detection of gastric cancer in the elderly, early diagnosis is the key. As far as possible the implementation of D2-type lymph node dissection of gastric cancer radical surgery to improve the five-year survival rate is necessary for patients without radical surgery conditions, palliative resection can improve prognosis.