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分析１８７７例有上腹部症状的６０岁以上老年患者胃镜检查结果。本组男多于女（２．６∶１）；以慢性胃炎（４５．３％）、胃癌（２７．４％）及消化性溃疡（１７．９％）为常见；胃癌、食管癌、慢性萎缩性胃炎及胃溃疡的检出率随年龄增长而增高，而十二指肠溃疡、慢性浅表性胃炎则呈减少趋势；上腹痛上消化道出血及消化不良症状为各病共有的常见主诉，但无特殊性；老年人临床表现常不典型，易误诊。胃镜与活检的符合率，恶性肿瘤在９０％以上，良性胃病仅５０％～６７．０％，因而直视诊断须与活检结合。上消化道造影与胃镜对良恶性疾病诊断的总符合率仅４３．９％，说明胃镜对老年胃病诊断的重要性。并对老年胃病的病因、病理、临床表现等进行了分析讨论。
Analysis of 1877 cases of upper abdominal symptoms in patients over the age of 60 gastroscopy results. The group of men more than women (2.6: 1); with chronic gastritis (45.3%), gastric cancer (27.4%) and peptic ulcer (17.9%) are common; gastric cancer, esophageal cancer, chronic Atrophic gastritis and gastric ulcer detection rate increased with age, and duodenal ulcer, chronic superficial gastritis showed a decreasing trend; upper gastrointestinal tract upper gastrointestinal bleeding and indigestion symptoms common to all common complaints , But no particularity; the clinical manifestations of the elderly are often not typical, easily misdiagnosed. The coincidence rate of gastroscopy and biopsy, malignant tumors in more than 90%, benign stomach only 50% to 67.0%, so direct diagnosis and biopsy should be combined. The total coincidence rate of upper gastrointestinal imaging and gastroscopy in the diagnosis of benign and malignant diseases was only 43.9%, indicating the importance of gastroscopy in the diagnosis of senile gastropathy. And the etiology, pathology, clinical manifestations of senile gastric diseases were analyzed and discussed.