70岁以上高龄食管、贲门癌患者的手术治疗体会  

Surgical treatment patients with esophageal or cardiac carcinoma aged over 70 years old

作　　者：吴光航 路平[1] 

机构地区：[1]汉中市中心医院心胸外科,陕西汉中723000

出　　处：《现代肿瘤医学》2013年第10期2253-2254,共2页Journal of Modern Oncology

摘　　要：目的:探讨高龄食管、贲门癌患者手术的安全性。方法:回顾性分析2005年1月至2010年1月68例≥70岁的食管、贲门癌患者的临床资料。结果:患者年龄70-82岁,平均(74.9±8.6)岁。TNM分期:T1期占48.53%(33/68),Ⅰ、Ⅱ期88.24%(60/68)。细胞分化Ⅰ和Ⅱ级86.76%(59/68)。术后并发症总发生率为52.94%(36/68),肺部感染25%(17/68),心率失常率11.76%(8/68),吻合口狭窄4.41%(3/68),吻合口瘘2.94%(2/68),围手术期死亡率1.47%。结论:70岁以上高龄食管、贲门癌患者术后并发症较多,积极做好术前准备、围手术期及术后处理,可提高手术成功率。Objective：To evaluate the surgical therapeutic effects on aged patients with advanced esophageal or cardiac carcinoma. Methods：The clinical data of 68 aged patients （over 70 years old）with advanced esophageal and cardiac carcinoma during January 2005 and January 2010 were retrospectively analyzed. Results：All of all cases were 70 -82 years old with an average of 74.9 ±8.6 years old. 48.53% （33/68） of patients was TI and 88.24% of pa- tients staged to Ⅰ and Ⅱ stage. Of 86.76% cases was in I and 1I grade of cell differentiation. The total incidence of postoperative complications was 52.94% distributed to lung infection in 25%, arrhythmia 11.76%, anastomotic ste- nosis 4.41% ,anastomotic leakage 2.94% and mortality 1.47 respectively. Conclusion： Being more and severe post- operative complications,the age over 70 years old patients with esophageal or cardiac carcinoma should be well pre- pared preoperatively and postoperative treated correctly and timely.

关 键 词：食管癌 贲门癌 高龄患者 

分 类 号：R735.1[医药卫生—肿瘤] R735.2[医药卫生—临床医学]