摘要
目的:探讨高龄胃癌患者临床特点及外科治疗的有关问题。方法:回顾性分析了接受手术治疗的64例70岁以上胃癌病例。结果:64例均经手术探查,其中远端胃次全切除术24例,全胃切除术16例,近端胃次全切除10例,联合脏器切除6例,姑息性切除6例,行捷径、造瘘或剖腹探查术2例;术后有并发症30例,围手术期死亡2例。结论:老年胃癌患者起病隐匿,术前合并症多,术后并发症多,故应积极加强围手术期的处理,同时手术方式应强调个体化原则。
Objective： To estimate the clinical characteristic and relevant problems of surgical therapy for patients with gastric carcinoma. Method： The clinical data of 64 elderly patients with gastric carcinoma over 70 years old were analyzed retrospectively. Result： 64 cases received operations research, 24 cases received distal end subtotal gastrectomy , 16 cases subtotal gastrectomy, 6 cases received resection received total gastrectomy, 10 cases received proximal end of combine organs,6 cases received palliative gastrectomy, and 2 cases received short circuit,stoma or exploratory laparotomy. Conclusion： Gastric carcinoma in elderly patients is not easy to find, and it is with more co - exist diseases, more postoperative complication, so it is necessary to enforcing perioperative period management, and the options of operation methods should follow individual principle.
出处
《河北医学》
CAS
2008年第2期157-160,共4页
Hebei Medicine
关键词
胃癌
外科治疗
高龄人群
Gastric carcinoma
Surgical therapy
Elderly patients
