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目的 通过对老年人进行胃镜普查及随访 ,提高老年人胃癌的防治水平。 方法 结合每年查体对 30 48例 6 0～ 93岁老年人进行胃镜普查 ,胃镜随访 2 0 34例 ,随访率为 6 6 7%。 结果 共检出胃癌 92例 ,检出率为 3 0 % ,其中早期胃癌 5 8例 ,占 6 3 0 % ;胃镜随访中检出早期胃癌 39例 ,占随访检出胃癌 49例的 79 6 %。胃癌、早期胃癌的手术切除率为 88 9%及 10 0 0 % ,5年生存率分别为 91 9%及 96 3%。胃镜检查并发症的发生率为 0 0 97%。 结论 开展胃镜普查及随访是提高老年人早期胃癌诊断率及胃癌术后 5年生存率的安全可靠方法
Objective To improve the prevention and treatment of gastric cancer in the elderly through gastroscopy and follow-up of the elderly. Methods A total of 30 48 elderly patients aged 60-93 years were enrolled in the gastroscopy survey. The gastroscope was followed up by 2034 patients. The follow-up rate was 66.7%. Results A total of 92 cases of gastric cancer were detected. The detection rate was 30%, of which 58 cases were early gastric cancer, accounting for 63.0%; 39 cases of early gastric cancer were detected during gastroscopy, accounting for 79.6% of 49 cases of gastric cancer. . The surgical resection rates for gastric cancer and early gastric cancer were 88 9% and 100%, and the 5-year survival rates were 91 9% and 96 3%, respectively. The incidence of gastroscopy complications was 0 0 97%. Conclusions Gastroscopic screening and follow-up is a safe and reliable method to improve the diagnosis rate of early gastric cancer in the elderly and 5-year survival rate of gastric cancer.