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作者分析了1988年-2005年间216例胃癌病例的组织学分化程度及随访结果,将其中年龄≤35周岁的青年组胃癌19例与年龄>35周岁的197例中老年组胃癌比较,分析结果:1.青年组胃癌男、女比例为1:1.4,而中老年组男、女比例为2.6:1;2.青年组胃癌组织学分比较差者占84.2%,高于中老年组的71.6%;3.青年组胃癌TNM分期偏晚,Ⅲ、Ⅳ期者占78.9%,高于中老年组的72.6%。作者认为:青年组与中老年组在手术切除率与术后5年生存率方面无明显差异,多数青年患者确诊较晚,争取早期发现是改善预后的关键。
The authors analyzed 216 cases of gastric cancer between 1988 and 2005 histological differentiation and follow-up results, including 19 cases of young patients ≤35 years of age gastric cancer and age> 35 years old 197 cases of elderly patients with gastric cancer, the results of the analysis: 1. The proportion of male and female patients with gastric cancer in the youth group was 1: 1.4, while that of the middle-aged and elderly patients was 2.6: 1. 2. The score of gastric cancer in the youth group was 84.2%, which was higher than 71.6% of the middle-aged and elderly patients. The TNM staging of gastric cancer in the youth group was late, with stage Ⅲ and Ⅳ accounting for 78.9%, which was higher than 72.6% of the middle-aged and elderly patients. The author believes that there is no significant difference between the young group and the middle-aged group in the surgical resection rate and 5-year postoperative survival rate. Most of the young patients are diagnosed later, and finding the early detection is the key to improve the prognosis.