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为了提高老年人贲门癌诊断与治疗水平，该文对１９８９年６月～１９９７年６月收治的６１例６０岁以上贲门癌的临床、内镜及病理学特征进行分析，并与同期４２例非老年组比较，结果如下：老年组占同期手术治疗胃癌总数的３５．６７％，明显高于非老年组（Ｐ＜０．０１）。男性发病率高。临床症状不典型，合并其他系统疾病多。内镜下与病理组织学特点：该组进展期癌以ＢｏｒｍａｎⅠ型（４６．５５％）为多，大贲门癌多；分化好的腺癌多（５７．３８％）；早期贲门癌检出率低（１．７２％），与非老年组比较有显著差异（Ｐ＜０．０１）。手术切除率较高。认为贲门癌患者的年龄不是手术禁忌症，应在术前充分准备并加强术后护理与治疗的前提下，尽可能行手术治疗，手术可提高生存率。
In order to improve the diagnosis and treatment of cardiac cancer in the elderly, the clinical, endoscopic and pathological features of 61 cases of cardiac cancer above 60 years of age treated from June 1989 to June 1997 were analyzed, and compared with 42 cases during the same period. In the elderly group, the results were as follows: The elderly group accounted for 35.67% of the total number of gastric cancers treated during the same period, which was significantly higher than that of the non-elderly group (P<0.01). The incidence of men is high. The clinical symptoms are not typical, combined with other system diseases. Endoscopic and histopathological features: There were more Borman type I (46.55%) in this group of advanced cancers, with more cardiac cancers; more differentiated adenocarcinomas (57.38%); early detection rate of cardiac cancers Low (1.72%) was significantly different from non-elderly group (P<0.01). Surgical resection rate is higher. It is considered that the age of patients with cardiac cancer is not a contraindication to surgery, and surgery should be performed as far as possible on the premise of adequate preparation and strengthening of postoperative care and treatment before surgery. Surgery can improve the survival rate.