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目的:探讨青年胃癌临床表现、胃镜检查及其病理、治疗及预后特点。方法:回顾性分析我院2004-01/2008-12收治胃癌患者的临床资料。结果:青年组与中老年组比较女性占比例较高,上腹痛、腹块多见,确诊时间晚,胃窦癌发病率高,低-未分化腺癌、印戒细胞癌比例高,Ⅲ~Ⅳ期居多,根治性切除率低,生存期短;而上腹饱胀、消瘦、胃底贲门癌、高分化腺癌低于老年组。结论:青年胃癌较老年恶性程度高、分化程度低、病程进展快、预后差,临床医生应提高对青年人胃癌的认识及警惕性,积极早期检查,提高检出率。
Objective: To investigate the clinical manifestations of young gastric cancer, gastroscopy and pathology, treatment and prognosis. Methods: The clinical data of patients with gastric cancer admitted to our hospital from January 2004 to December 2008 were analyzed retrospectively. Results: Compared with the middle-aged group, the youth group had a higher proportion of women, upper abdominal pain and abdominal block, late diagnosis, high incidence of gastric cancer, low-undifferentiated adenocarcinoma, high proportion of signet-ring cell carcinoma, Most of Ⅳ, radical resection rate is low, short survival; and abdominal fullness, weight loss, gastric cardia cancer, poorly differentiated adenocarcinoma than the elderly group. Conclusion: The young patients with gastric cancer have higher malignant degree, lower degree of differentiation, faster course of disease and worse prognosis than the older ones. Clinicians should raise awareness and vigilance of gastric cancer in young people, actively check early and increase the detection rate.