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目的探讨老年人胃癌的临床特点和治疗方法。方法回顾性分析我院1996年1月至2006年6月外科收治的年龄≥70岁的104例胃癌患者的临床资料。结果主要临床表现为上腹疼痛、饱胀或不适72例(69.2%),以及消瘦52例(50.0%)和食欲下降80例(76.9%)。98例患者予以手术治疗,其中根治性切除63例(64.3%),姑息性切除30例(30.6%)。并存有重要器官慢性病变98例(94.2%),出现术后并发症73例(74.5%)。手术患者5年生存率,根治性切除患者为20%,姑息性切除患者为0。结论老年胃癌患者术后并发症发生率高,应提高早期诊断率:适宜的手术治疗是提高老年胃癌患者生存率的关键,但应做好围手术去期处理。
Objective To investigate the clinical features and treatment of gastric cancer in the elderly. Methods A retrospective analysis of our hospital from January 1996 to June 2006 surgically admitted to the age of 70 years of age of 104 cases of gastric cancer in patients with clinical data. Results The main clinical manifestations were upper abdominal pain, swelling or discomfort in 72 patients (69.2%), and weight loss in 52 patients (50.0%) and appetite reduction in 80 patients (76.9%). Ninety-eight patients were surgically treated, of whom 63 (64.3%) had radical resection and 30 (30.6%) had palliative resection. There were 98 cases (94.2%) of chronic diseases of vital organs and 73 cases (74.5%) of postoperative complications. Surgical patients 5-year survival rate, radical resection of patients was 20%, palliative resection of patients 0. Conclusion The incidence of postoperative complications in elderly patients with gastric cancer is high, and the rate of early diagnosis should be increased. Appropriate surgical treatment is the key to improve the survival rate of elderly patients with gastric cancer, but should be done in the period of perioperative treatment.