摘要
目的分析和总结老年胃癌的外科特点和治疗方式。方法回顾性分析250例大于60岁的老年胃癌患者临床资料。结果老年人胃癌术前多数伴随有其它疾病。手术证实多数为中晚期胃癌,行根治性胃切除占30.8%,姑息性胃切除占48%。术后并发症增加,其中泌尿系并发症58例占23.3%,肺部感染53例占21.1%,切口感染38例占15.2%。结论应重视老年胃癌的外科治疗特点,积极做好围手术期的处理,选择合理的术式,以减少并发症和死亡率,提高治疗效果。
Objective To analyze the surgical treatment characters of gastric carcinoma in the elderly. Methods Clinical data of 250 cases with gastric carcinoma in the elderly were reviewed retrospectively. Results Most of the elderly patients with gastric carcinomas had coexistent diseases, and most of gastric carcinoma were in the middle and late stages. Radical gastrectomy was less than palliative resection：radical gadrrectomy was 30.8 percent, palliative resection was 48 percent. There was higher rate of the postoperativcomplication,including infection of urotogical system 58 cases （23.3%） ;infection of lung 53 cases （21.2%） and infection of incision 38 cases （ 15.2% ）. Conclusions We should value the unique characters and adequate preoperative treatment of gastric cancer of the elderly and choose the appropriate operation according to patients＇ situation so as to reduce complication and mortality＇rates and improve the efficacy of curative resection.
出处
《医学信息（手术学分册）》
2007年第1期17-18,共2页
Medical Information Operations Sciences Fascicule
关键词
老年胃癌
伴随疾病
手术方式
术后并发症
gastric carcinoma of the elderly patient
co -existent disease
postoperative complication
perioperative period treatment
