摘要
目的探讨分析老年胃癌患者的临床特点、手术方式、手术治疗的注意事项及术后处理措施等。方法回顾性分析2001年8月～2009年1月在我院住院接受手术治疗的年龄大于60岁的80例老年胃癌患者的临床资料。结果 80例老年胃癌患者中,68例患者行胃癌根治术(85%),12例患者行姑息性手术或剖腹探查术(15%)。1例患者在围手术期死亡,围手术期死亡率为1.25%(1/80);术后并发症的发生率为33.75%(27/80);有合并症的患者术后并发症的发生率(43.14%)明显高于无合并症的患者(17.24%),差异有统计学意义(P<0.05)。结论老年胃癌患者多合并有内科疾病,术后并发症的发生率高;临床上应根据老年胃癌患者的临床特点,选择适当的手术方式,严格掌握手术适应证、充分进行术前准备、加强围手术期的处理,提高手术的安全性,减少并发症的发生。
Objective To explore the clinical features, the operation mode,the notice for surgery and post-operation treatment in elderly gastric cancer. Methods A retrospective analysis was made of the clinical data of 80 cases of elderly gastric cancer treated by surgery in our hospital from Aug. 2001 to Jan. 2009. Results In 80 cases, 68 cases （85%）received radical gastric operation and 12 cases （15%）received palliative resection. The perioperative mortality was 1.25%,and the incidence of postoperative complications was 33.75%. Conclusion Surgery is also the option for elderly gastric cancer. Enough preparation, accurate determination of surgery indications and improvement of postoperative surveillance are keys to reduced mortality.
出处
《中国现代医生》
2010年第33期157-158,共2页
China Modern Doctor
关键词
胃癌
老年
手术
Gastric cancer
Elderly
Surgery
