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目的 探讨高龄病人胃贲门癌的外科治疗。方法 总结我院 1991～ 2 0 0 0年收治 79例 70岁以上胃贲门癌病人外科治疗。结果 术前并存疾病的发生率为 5 4.4% ,35 .4%的病人同时合并 2种以上的疾病。根治性切除率 73.4% ,姑息性切除率 19% ,肿瘤切除率 92 .4%。主要采用经腹全胃切除的手术方式。术后并发症发生率为 19% ,死亡率3.8%。结论 对高龄胃贲门癌病人 ,加强围手术期并存疾病和并发症的处理 ,选择适当的手术时机和手术方式 ,提高高龄胃贲门癌病人的生存率和生存质量。
Objective To investigate the surgical treatment of gastric cardia cancer in elderly patients. Methods Summarize the surgical treatment of 79 cases of gastric cardia cancer over 70 years old in our hospital from 1991 to 2000. Results The incidence of preoperative co-morbidity was 54.4%, while 35.4% of patients combined with more than 2 kinds of diseases at the same time. The radical resection rate was 73.4%, palliative resection rate was 19% and tumor resection rate was 92.4%. The main method of transabdominal total gastrectomy. The incidence of postoperative complications was 19% with a mortality rate of 3.8%. Conclusion The treatment of elderly patients with gastric cardia cancer should strengthen perioperative management of the disease and complications, select the appropriate operation timing and operation method, and improve the survival rate and quality of life of patients with advanced gastric cardia cancer.