高龄食管贲门癌46例诊治分析  

Diagnosis and treatment analysis of 46 elderly patients with carcinoma of esophago cardia

作　　者：周平[1] 周仲毅[1] 王忠华[1] 孙兆亮[1] 张贵斋[1] 冯新海[1] 沈磊[1] 王卫东[1] 

机构地区：[1]兰州军区乌鲁木齐总医院心胸外科,新疆乌鲁木齐830000

出　　处：《西北国防医学杂志》2004年第6期438-439,共2页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的 :分析影响高龄食管贲门癌手术的因素。方法 :对 4 6例高龄食管贲门癌手术的临床资料进行回顾性分析。结果 :手术切除 4 4例 ,切除率 95 .7%。出现并发症 14例 (30 .4 % ) ,肺炎、肺不张、肺部感染 8例 (17.4 % ) ,胸腔积液 5例 (10 % ) ,心律失常 18例 (39.1% ) (室上性心动过速 13例、房颤 2例、室性早搏 3例 ) ,吻合口瘘 2例 (4.5 % ) ,死亡 1例 (2 .2 % )。术后平均住院16d。 1年生存率 80 % (32 /40 ) ,3年 6 0 % (18/2 5 ) ,5年 30 % (3/10 )。结论 :对高龄食管贲门癌患者采取手术治疗可以取得满意效果。Objective:To analyze the factors infl uencing operation of elderly pat ients with carcinoma of esophago cardia. Methods: C linical data of 46 el derly patients with carcinoma of esophago cardia were analysed retrospectively. Results:44 pa tients underwent operations, excision rate 95.7%. 14 patients occured complicati ons (30.4%), 8 patients had pneumonia, pulmonary atelectasis or pulmonary infection (17.4%); 5 pleural effusion (10%), 18 cardiac arrhythmia (39.1%, 13 supraventri cular tachycardia, 2 atrial fibrillation and 3 premature ventricualr contraction ); 2 stoma fistula (4.5%); 1 death (2.2%). The patients stayed in hospital 16 days averagely after operation. Survival rate of 1st year was 80 %( 32/40), 2nd 60 % ( 18/25), 5th 30(3/10). Conclusion:Operation has cont ent effects on elderly patients with carcinoma of esophago cardia.

关 键 词：食管贲门癌 高龄患者 外科治疗 

分 类 号：R735[医药卫生—肿瘤]