老年卵巢癌患者的围手术期临床特征分析  

Perioperative Clinical Features in Elderly Patients with Ovarian Cancer

作　　者：于琳[1] 光晓燕[1] 李璟[1] 

机构地区：[1]北京大学深圳医院妇产科,深圳518036

出　　处：《福建医科大学学报》2008年第4期356-358,共3页Journal of Fujian Medical University

摘　　要：目的探讨老年卵巢癌患者的围手术期临床特征。方法回顾分析192例老年(≥65岁)卵巢癌患者初次手术治疗的临床资料,分析老年卵巢癌患者手术治疗的必要性和安全性。结果192例患者中有术前合并症者109例,行肿瘤细胞减灭术111例,行姑息性手术81例;肿瘤细胞减灭术较姑息性手术的手术时间长,出血量多,需要输血者多;≥75岁患者的术后住院时间较65～74岁组长;54例患者出现术后并发症,其中46例有术前合并症。结论老年卵巢癌患者合并症多,手术并发症多,但高龄不是手术禁忌症。Objective To discuss the perioperative clinical features in elderly patients with ovarian cancer. Methods Retrospective analyses were performed on the clinical data of 192 cases of elderly ≥ 65） patients with ovarian cancer, who underwent primary surgical treatment in during January 1,2000 to December 31, 2007. The necessity and safety by surgical procedure in elderly patients with ovarian cancer is discussed. Results Among the 192 cases, 109 had preoperative complications , 111 underwent cytoreductive surgery, and 81 underwent palliative surgery. Cytoreductive surgery took longer operative time had more bleeding and needed blood transfusion more often than palliative surgery. The postoperative hospital stay was longer in the group ≥ 75-year-old patients than 65-74-year-old. Among the 54 cases with postoperative complications, there were 46 cases with preoperative complications. Conclusions There were more preoperative and postoperative complications in elderly patients with ovarian cancer, however, the old age does not rule out the option of surgery.

关 键 词：卵巢肿瘤 卵巢切除术 手术后并发症 手术期间 

分 类 号：R737.31[医药卫生—肿瘤]