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目的探讨西宁地区老年胃癌患者围术期处理的有关问题及适当的处理方式。方法回顾性分析2010年1月至2011年10月我科收治的100例65岁以上的西宁地区老年胃癌患者的临床资料。结果 100例中,80例行胃癌切除术,切除率为80%,其中行根治性胃大部或全胃切除术60例,切除率75%,姑息性切除20例,切除率25%。胃空肠吻合术12例,切除率占12%。仅行探查术取活检者8例,占8%。术前有并存疾病,术后并发症的发生率60%(48/80)。术前无并存疾病者,术后并发症的发生率33%(6/20)。结论西宁地区老年胃癌患者的手术方式应根据病情而定,对早期或中期胃癌力争行D2根治性手术,加强围手术期处理,可提高手术的安全性,减少并发症的发生。
Objective To investigate the perioperative management of elderly patients with gastric cancer in Xining area and the appropriate treatment. Methods The clinical data of 100 elderly patients with gastric cancer over 65 years old in Xining from January 2010 to October 2011 were retrospectively analyzed. Results Of the 100 cases, 80 cases underwent resection of gastric cancer. The resection rate was 80%, of which 60 cases were radical gastrectomy or total gastrectomy. The resection rate was 75%. Palliative resection was performed in 20 cases and the resection rate was 25%. Gastrojejunostomy in 12 cases, resection rate of 12%. Only exploration to take biopsy in 8 cases, accounting for 8%. Preoperative coexisting disease, the incidence of postoperative complications was 60% (48/80). Preoperative coexisting disease, the incidence of postoperative complications was 33% (6/20). Conclusion The method of operation for elderly patients with gastric cancer in Xining should be determined according to the condition. Striving for D2 radical surgery for early or middle stage gastric cancer and strengthening perioperative management can improve the safety and reduce the incidence of complications.