老年人；_胃癌；_外科治疗_____老年人；

老年胃癌患者外科治疗的临床研究

http://www.100md.com 《实用老年医学》 2007年第1期

老年人；,胃癌；,外科治疗,,老年人；,胃癌；,外科治疗,1临床资料和方法,2结果,3讨论,[参考文献]

     【摘要】目的探讨老年胃癌患者的临床特点及其外科治疗方法的选择及预后。方法回顾性分析1993年1月至2003年1月收治的443例≥65岁老年人胃癌的临床资料和生存资料。结果本组围手术期病死率为25%,手术并发症发生率为201%。根治性胃切除组术后1、3、5年生存率分别为90%、658%和421%,姑息性胃切除组分别为736%、136%和0,未切除组平均生存10月。各组术后生存率比较差异有统计学意义(P<005)。结论老年人胃癌术后并发症较多,围手术期处理至关重要。手术方式应视患者全身情况、癌肿所在部位、大小及侵犯范围而定,对早中期患者力争行根治性胃切除术。术后生存率和手术方式密切相关。

    【关键词】老年人；胃癌；外科治疗

    Clinical study on surgical treatment for gastric cancer in elderly patients

    L Chengyu, SHI Kaiwang, XI Pengcheng.

    Department of General Surgery ,Nanjing First Hospital Affiliated to Nanjing Medical University, Nanjing 210006, China

    【Abstract】 Objective To investigate the clinical characteristics,surgical treatment methods and prognosis of gastric cancer in elderly patients. Methods The clinical followup data of 443 patients aged over 65 with gastric cancer from January 1993 to January 2003 were studied retrospectively. Resukts The fatality in the perioperative period was 25%,and the postoperative complication rate was 201%.The 1,3 and 5year survival rates were 90%,658% and 421% in radical gastrectomy group ......

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