老年性胃癌外科治疗的临床评价

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摘要 摘要目的探讨老年性胃癌患者的临床特点,评价老年性胃癌的外科治疗价值方法随机抽取我院收治的70例老年胃癌患者,分别分为高龄组和非高龄组.高龄组年龄70岁以上患者,40例,年龄范围70-76岁,平均年龄73.5岁;非高龄组30例,年龄范围50-65岁,平均年龄58.5岁.两组患者的性别、年龄、病程等临床资料进行统计学处理结果两组70例患者临床症状主要有上腹部疼痛、消瘦乏力、恶心呕吐、吞咽困难、腹部包块等,对比高龄组与非高龄组上述临床症状的发生率,高龄组显著高于非高龄组,对比差异均具有统计学意义.两组患者胃癌发生部位对比,高龄组胃癌发生于胃底贲门区例数显著多于非高龄组,数据差异具有统计学意义,非高龄组胃癌发生于胃窦幽门区显著多于高龄组,数据差异具有统计学意义结论老年性胃癌患者的临床症状不典型,且以中晚期多见,部分患者可以采用手术治疗,需要医生选择合适的治疗方法,严密观察老年患者的心理变化动态,向患者及家属解释病情,积极避免患者手术后的并发症发生关键词老年性胃癌;外科治疗;临床评价ClinicalevaluationofsurgicaltreatmentforelderlygastriccancerYuyangsheng(ChengduSichuanFriendshipHospital610066)AbstractObjectiveToexploretheclinicalcharacteristicsofelderlypatientswithgastriccancer,andtoevaluatethevalueofsurgicaltreatmentforelderlypaGtientswithgastriccancermethodsRandomlyselected70casesofelderlypatientswithgastriccancer,weredividedintoelderlygroupandnonelderlygroup.Olderagegroup70patients,40patients,aged70-76yearsold,theaverageageof73.5yearsold;nonagedgroup30cases,agerange50-65yearsold,theaverageageof58.5yearsold.Theclinicaldataoftwogroupsofpatientsweretreatedbysex,ageandcourseofdiseaseResultsTheclinicalsymptomsof70groupsoftwopatientsweremainlyabdominalpain,weightloss,fatigue,nausea,vomiting,dysphagia,abdominalmass,etc.,comparedwiththeelderlygroupandnonelderlygroup,theelderlygroupweresignificantlyhigherthanthoseinthenonelderlygroup,thedifferencewasstatisticallysignificant.Inthetwogroupsofpatientswithgastriccancer,theelderlypatientswithgastriccancerintheelderlygroupweresignificantlymorethanthoseinthenonelderlygroup,thedifferencewasstaGtisticallysignificant.ConclusionIsnotatypicalclinicalsymptomsofsenilepatientswithgastriccancerandtomiddle-lateseemore,somepatientscanusesurgicaltreatment,needadoctortochoosetheappropriatetreatment,thestrictobservationofelderlypatientswithpsychologicalchangedynamically,explainedtothepaGtientaknedyfwaomridlsycondition,activelyavoidcomplicationsofpatientsaftersurgerysenilegastriccancer;Surgicaltreatment;Clinicalevaluation中图分类号R454文献标识码B文章编号1008-6315(2015)12-0621-01
机构地区 虞洋生
出处 《中国综合临床》 2015年12期
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出版日期 2015年12月22日(中国期刊网平台首次上网日期,不代表论文的发表时间)
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