手术方式对老年性胃癌根治术预后的影响  

Effects on Prognosis of Stomach Cancer in Elderly after Radical Operation among Different Method of Operation.

作　　者：佀军 张鉴哲[2] 

机构地区：[1]河南省郑州市第五人民医院肿瘤科,郑州市450003 [2]河南省肿瘤医院,450008

出　　处：《医药论坛杂志》2003年第12期1-1,3,共2页Journal of Medical Forum

摘　　要：目的　重点讨论手术方式对老年性胃癌根治术预后的关系。 方法　 回顾分析 1995年 1月～2 0 0 0年 1月共收治的 83例 6 5岁以上老年性胃癌根治术随访 3年 ,分析手术方式和心肺合并症的关系及其对死亡的影响。 结果　 三年后U区癌心肺合并症死亡 2 6例 (2 6 / 83,31 1% ) ,M区癌心肺合并症死亡 2例 (2 / 83,2 4 % ) ,L区癌心肺合并症死亡 8例 (8/ 83,9 6 % ) ,M区和L区共计 10例 (10 / 83,12 % )。两组 (U区与M +L区 )死亡率相比有显著差异 ,P <0 0 1。 结论　U区开胸手术易引起心肺合并症 ,是老年性胃癌根治术后死亡率增高的主要原因。Objective The auther give an emphasis on discussing the relationship between method of operation and prognosis of stomach cancer after radical operation in elderly.Methods From January 1995 to January 2000,83 patients(age>65 years)received stomach cancer radical operation with a mean follow-up 3 years,with the data we analyze the relationship between operation method and cardiopulmonary complications and its influence upon death rate.Results 26 patients(31.1%) with U(upper)region stomach cancer died of cardiopulmonary complication,in M(middle)region 2 patients(2.4%) died of the complication and in L(lower)region 8 patients(9.6%).Death rate is statistically different between the U and the M+L group(P<0.01).Conclusion Open-thoracic surgery in patients with stomach cancer of U region is more likely to induce cardiopulmonary complications,as the main cause of the higher death rate of the patients after radical treatment.

关 键 词：手术方式 老年性胃癌 根治术 预后 影响 

分 类 号：R735.2[医药卫生—肿瘤]