中青年人与老年人中下段食管癌手术疗效分析  

Efficacy analysis of middle and lower esophageal cancer surgery in the young-middle and elderly

作　　者：卢庆国 禚保彪[1] 丁长柏 王健[1] 

机构地区：[1]邳州市人民医院胸心外科

出　　处：《中国校医》2010年第7期518-519,共2页Chinese Journal of School Doctor

摘　　要：目的探讨中青年人与老年人中、下段食管癌手术疗效。方法收集2000年1月～2009年7月邳州市人民医院住院病人100例年龄〉70岁和100例年龄〈60岁经临床及影像学检查诊断为中、下段食管癌患者。根据手术切除率、术前术后并发症发生率、术后1年、3年生存率，评价中青年人与老年人中下段食管癌手术临床疗效。结果中青年组与老年组中下段食管癌的术前淋巴转移率、术后并发症发生率差异有统计学意义（P〈0．05），而手术切除率、手术死亡率差异无统计学意义（P〉0．05）。结论肿瘤的长度和患者的高龄并不应成为中下段食管癌手术治疗的禁忌。Objective To explore the surgical efficacy of the middle and lower esophageal cancer in the youngmiddle and elderly. Methods The data of 200 cases of middle and lower esophageal cancer were analyzed between January 2000 and July 2009. There were 100 patients whose years old were younger than 60 （Group A） and 100 patients whose years old were older than 70 （Group B）. The curative effects of the two groups were evaluated according to the resection rate, incidences of preoperative and postoperative complications, 1- and 3- year survival rates after surgery. Results There were significant differences of the incidences of preoperative and postoperative complications and lymphatic metastasis between the two groups, P 〈 0. 05, while there were no significant differences of the resection rate, postoperative complications, 1- and 3-year survival rates, P 〉0.05. Conclusions The length of tumor and the elderly should not be the taboo of surgical treatment in the middle and lower esophageal cancer patients.

关 键 词：食管肿瘤 外科手术 治疗结果 

分 类 号：R735[医药卫生—肿瘤]