老年人胃癌的外科治疗  

Surgery therapy to gastric cancer in senile patients

作　　者：徐幼龙[1] 张世统[1] 陈国祥[1] 杨大明[1] 万剑慧[1] 

机构地区：[1]上海市长宁区中心医院肿瘤科,200336

出　　处：《中华腹部疾病杂志》2006年第9期639-641,共3页Chinese Journal of Celiopathy

摘　　要：目的探讨老年胃癌病人临床表现特点及适当的外科治疗方法。方法回顾分析我院1985～2000年收治的年龄70岁以上238例胃癌病人的临床及手术资料。结果老年胃癌发病较隐匿，主要表现为上腹隐痛不适、消瘦、食欲下降、贫血等。多数病人合并有重要器官的慢性病变。手术证实大多数为中晚期胃癌，手术切除166例，切除率为69．7％，其中根治性切除107例，64．5％；姑息性切除59例，35.5％。切除者手术后5年生存率为32．6％，根治性切除达53．7％。姑息性切除平均生存期10．8个月。手术后并发症发生率20．8％。结论老年胃癌由于发病隐匿多为晚期，应提高早期诊断率。要做充分的术前准备及积极的术后处理，大多能耐受手术。AIM To discuss the characteristic of the clinical manifestation and proper surgery therapy in senile patients. MEHTODS The clinic and surgery data of 238 gastric cancer cases （ age 〉 70 ） from 1985 to 2000 were retrospectively analyzed. RESULTS The clinic manifestation with gastric cancer in elderly patients is often concealable, principally show pain in the upper abdominal, under weight, anorexia, anemia. Lots of them have chronic diseases of important organ. In operation advanced gastric cancer were detected in the majority patients. 166 cases were dissected. Rate of dissection was 69.7%. 107 cases underwent radical operation（64.5 % ）. 59 cases experienced palliative operation（35.5 % ）. The 5 -year survival rate was 32.6% with dissected operation. The 5 - year survival rate with radical operation was 53.7%. The average survival period was 10.8 months with palliative operation. Incidence of complication of post- operation was 20.8%. CONCLUSIONS Advanced gastric cancer is often detected in senile patients. So, it＇s important to improve diagnosis in early stage. Senile patients will tolerate operation safely with abundant prepare before operation and positive handle afteroperation.

关 键 词：老年 胃癌 外科治疗 

分 类 号：R735.2[医药卫生—肿瘤]