胃溃疡与胃癌发病年龄和生长部位及大小的比较

目的:比较胃溃疡与溃疡型胃癌的发病特点。方法:对69例胃溃疡与32例胃癌进行回顾性分析,比较二者好发年龄、胃镜下变病部位和大小的差异。结果:63.7%胃溃疡多发生于50岁以下患者,81.3%胃癌发生于50岁以上患者(P<0.01)。贲门部的胃癌是胃溃疡的5倍(P<0.01);胃角部的胃溃疡是胃癌的9倍(P<0.01);溃疡型胃癌与胃溃疡都易发生在胃窦,且检出率相似。82.6%胃溃疡直径<3cm,78.1%胃癌直径≥3cm(P<0.01)。结论:胃溃疡与溃疡型胃癌的好发年龄、生长部位和大小几乎各不相同,这些发病特点对溃疡型胃癌的早期诊断有一定指导意义。

The Comparison of Age and Location and Size between Gastric Ulcer and Gastric Cancer

Objective:To compare the characters between gastric ulcer and gastric cancer.Methods:To compare the age,location and size between gastric ulcer and gastric cancer by analysis retrospectively 69 patients with gastric ulcer and 32 cases with gastric cancer during past 5 years.Results:63.7% patients with gastric ulcer were less than 50 years,however,81.3% patients with gastric cancer were more than 50 years(P<0.01).Morbidity of gastric cancinoma at cardia of stomach was higher 5 times than gastric ulcer(P<0.01),but the gastric ulcer occurred in the angle of stomach was highr 9 times than gastric cancer(P<0.01).The morbidity was a lot of similarity in sinus ventriculi between gastric ulcer and gastric cancer.The diameter of gastric ulcer was less than 3 cm in 82.6% cases,however,the diameter of gastric cancer was more than or equally to 3 cm in 78.1% cases(P<0.01).Conclusion:The age,location and size almost different between gastric ulcer and gastric cancer,and these differences were meaningful to diagnosis gastric cancer successfully and early.