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目的:探讨老年食管癌贲门癌的外科手术治疗方法,观察疗效,总结体会。方法:回顾性分析2006年2月—2010年2月我科住院治疗的45例老年食管癌贲门癌患者的临床资料,根据患者的手术适应证,术前进行严格的评估和充分准备,采取相应的治疗措施。结果:本组45例患者均得到及时有效的手术治疗,降低了围手术期的危险,术后发生并发症10例(22.2%),死亡1例(2.2%)。结论:老年食管癌贲门癌患者常合并有其他疾病,术前采取针对性的处理,术中密切观察病情,术后细致监护、及时治疗,这对减少术后并发症,提高手术成功率具有重要作用。
Objective: To investigate the surgical treatment of elderly patients with esophageal and cardiac cancer, observe the curative effect and summarize the experience. Methods: The clinical data of 45 elderly patients with esophageal and cardiac cancer treated in our department from February 2006 to February 2010 were retrospectively analyzed. According to the patients’ indications for surgery and preoperative rigorous evaluation and adequate preparation, Treatment measures. Results: All the 45 patients in this group received timely and effective surgical treatment, reducing the perioperative risk. Postoperative complications occurred in 10 (22.2%) and 1 (2.2%) deaths. Conclusions: Elderly patients with esophageal and cardiac cancer often have other diseases. Targeted treatment before surgery, close observation of the disease during operation, careful monitoring after surgery, and timely treatment are important for reducing postoperative complications and improving the success rate of operation effect.