老年高位胃癌的临床特点和外科治疗  

Clinical features and surgical treatment for 136 elderly patients with high location stomach carcinoma

作　　者：李小冬[1] 胡昇庠[1] 王崇高[1] 

机构地区：[1]南京市第一医院集团浦口区中心医院,211800

出　　处：《中国现代药物应用》2009年第23期21-22,共2页Chinese Journal of Modern Drug Application

摘　　要：目的探讨老年胃癌患者的临床特点及外科治疗方法。方法回顾性分析1998年1月至2006年12月的136例65岁以上高位胃癌患者的临床资料及治疗情况。结果老年高位胃癌患者发病隐匿且常伴有出血、梗阻及贫血;绝大多数合并有其他疾病,术前合并症占53%。主要采用经腹近端胃切除术,根治性切除率为85%,姑息性切除率为9%,术后并发症31%,手术死亡率为3%。结论对老年高位胃癌患者,应争取早期诊断,及时治疗。经术前充分准备,术后积极处理,老年人多能耐受手术。而适当的手术时机及手术方法的选择,是提高根治性切除,减少并发症,降低病死率的关键。Objective To explore the clinical characteristics and surgical treatment methods for elderly patients with high location stomach carcinoma. Methods The clinical data and surgical treatment were analysed retrospectively in 136 patients with high location stomach carcinoma aged over 65 years during Jan 1998 to Dec 2006. Results The stomach carcinoma in elderly patients had an occult occurrence and frequently accompanied by bleeding, obstruction and anemia1. Most of the old patients had other diseases. The incidence of postoperative complications was 53%. 124 cases were treated by transabdominal proximal gastrectomy. Radical resection rate was 85% , palliative resection rate was 9%, mortality rate was 3%. Conclusion Early diagnosis and treatment is important in high location stomach carcinoma of the elderly. The old patients can tolerate operation by optimal preparation and careful treatment. Timely operation and choice of operative procedure are important in reducing complication and mortality rates and in improving the efficacy of curative resection.

关 键 词：胃肿瘤 外科治疗 老年 

分 类 号：R735.2[医药卫生—肿瘤] R656.61[医药卫生—临床医学]