高龄胃癌病人的临床特点及外科处理

目的探讨高龄胃癌病人的临床特点，提高外科治疗水平。方法回顾性分析我院2001年10月至2003年10月间416例胃癌病人行标准胃癌根治术的临床资料。结果102例≥70岁胃癌病人中术前75例（73．5％）有并存病，术后并发症发生率27．5％，术后病死率5．9％；314例〈70岁胃癌病人术前53例（16．9％）有并存病，术后并发症发生率11．5％，术后病死率1．6％，两组比较差异有统计学意义（P〈0．05）；术前无并存病在≥70岁组与〈70岁组术后并发症发生率分别为11．1％和8．8％，病死率分别为0和0．03％，两组间的差异无统计学意义（P〉0．05）。结论高龄胃癌病人常合并心脏病、肺部疾病、糖尿病等疾病。加强围手术期处理仍可使高龄病人耐受标准胃癌根治术，降低病死率和并发症的发生率。

Surgical treatment and clinical characters in old age gastric cancer

Objective To discuss the clinical features in elderly aged patients with gastric cancer and improve the treatment.Methods The radical mastectomy patients for stomachic carcinoma in clinical data of 416 patients was analyzed retrospective,from Oct.2001 to Oct.2003.Results 102 patients who aged over 70,75 patients had coexistent diseases(73.5 %),the rate of postoperative complications was 27.5 %,and the mortality was 5.9 %.314 patients who aged under 70,53 patients had preoperative complication(16.9 %),the ra...