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目的 探讨高龄胃底贲门癌病人行胃食管切除术的危险性及术后与年龄的关系。方法 1995～2 0 0 2年对 180例贲门癌切除病人 ,根据年龄分为两组 :Ⅰ组 (老年组 ) ,年龄≥ 70岁共 6 0例 ,Ⅱ组 (非老年组 ) ,年龄<70岁共 12 0例 ,比较两组术前危险因素及术后并发症。结果 两组病例术前危险因素Ⅰ组 5 1 8% ,Ⅱ组 13%。术后并发症Ⅰ组为 4 0 9% ,Ⅱ组为 11 9%。两组病例术前后危险因素及术后并发症存在着显著差异。结论 积极对老年贲门癌病人进行手术危险因素及并发症的防治 ,可取得满意的手术治疗效果。
Objective To investigate the risk of gastroesophagectomy in elderly patients with gastric cardia carcinoma and its relationship with age. Methods One hundred and eighty patients with gastric cardia resection from 1995 to 2002 were divided into two groups according to their age: group Ⅰ (aged group), 60 years old ≥ 70 years old, group Ⅱ (non-elderly group), age <70 A total of 120 cases of age, preoperative risk factors and postoperative complications were compared. Results The preoperative risk factors in both groups were 51.8% in group Ⅰ and 13% in group Ⅱ. Postoperative complications in group I were 49.9% and in group II was 11.9%. Two groups of patients before and after the risk factors and postoperative complications there is a significant difference. Conclusion The positive risk factors for operation and prevention of complications in elderly patients with cardiac cancer can achieve satisfactory surgical treatment.