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报道我院1984至1997年经胃镜确诊的老年人胃癌325例，与同期非老年人胃癌262例进行比较，结果显示：老年人胃癌男性多于女性，其比为3．01：1；病程长，超过1年者占28．62％，明显高于非老年组（P＜0．01），老年组症状不典型，腹痛发生率低，为42．77％，明显低于非老年组（P＜0．01）；老年组消瘦发生率为18．15％，明显高于非老年组（P＜0．01）；老年组癌肿多发于胃底贲门部；组织学类型以高分化腺癌为主；Borrman分型以Ⅰ型多见。掌握老年人胃癌的特点，有助于早期诊断及治疗，以提高患者的存活率。
Reported 325 cases of elderly patients with gastric cancer diagnosed by gastroscopy in our hospital from 1984 to 1997, compared with 262 cases of non-elderly gastric cancer in the same period, the results showed that: the elderly have more gastric cancer than women, the ratio is 3.01:1; long course of disease 28.8% of patients over 1 year were significantly higher than those in the non-elderly group (P<0.01). Symptoms in the elderly group were not typical, and the incidence of abdominal pain was low at 42.77%, which was significantly lower than that of the non-elderly group (P). <0.01); The incidence of wastage in the elderly group was 18.15%, which was significantly higher than that of the non-elderly group (P<0.01); the cancer in the elderly group was mostly in the gastric cardia; the histological type was well-differentiated adenocarcinoma Mainly; Borrman type more common in type I. Grasping the characteristics of elderly patients with gastric cancer can help early diagnosis and treatment to improve the survival rate of patients.