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目的:探讨老年食管癌患者手术适应证及围手术期的处理。方法:将本组32例老年食管癌患者行根治性手术30例,姑息性手术2例,切除率93.75%,颈部吻合24例,弓下吻合6例。结果:无围手术期死亡。术后并发术后吻合口狭窄1例,肺部感染3例,心律失常1例,胃肠功能紊乱1例,乳糜胸1例,经保守治疗后痊愈,术后并发症发生率21.88%。术后30天内死亡1例,1年内死亡3例,病死率12.5%。结论:老年食管癌只要选择合理的术式、积极加强围术期治疗、控制并发症发生率,外科治疗仍是首选方法。
Objective: To investigate the surgical indication of elderly patients with esophageal cancer and perioperative management. Methods: The group of 32 elderly patients with esophageal cancer underwent radical surgery in 30 cases, 2 cases of palliative surgery, resection rate of 93.75%, 24 cases of cervical anastomosis, anastomosis in 6 cases. Results: No perioperative deaths. Postoperative anastomotic stricture in 1 case, pulmonary infection in 3 cases, arrhythmia in 1 case, gastrointestinal dysfunction in 1 case, chylothorax in 1 case, cured after conservative treatment, the incidence of postoperative complications was 21.88%. One patient died within 30 days after operation, 3 patients died within 1 year and the case fatality rate was 12.5%. Conclusion: Elderly esophageal cancer as long as the choice of a reasonable surgical procedures, and actively strengthen the perioperative treatment, control the incidence of complications, surgical treatment is still the preferred method.