摘要
目的：对５８例７０岁以上高龄食管癌外科治疗资料总结分析，以确定手术死亡率及术后并发症、长期存活率的高低。方法：回顾性分析５８例７０岁以上高龄食管癌外科治疗的手术死亡率、并发症及生存率、并与普通食管癌组进行比较。结果：手术死亡率８．６％。术后并发症５３．５％，１、３、５年存活率分别为５６．８％，４１．４％，２９．３％。结论：高龄食管癌手术后并发症及死亡率较高，但远期存活率不低于总的食管癌手术组。对手术治疗应持积极而慎重的态度。
Objectuve To dedermine the operative risks,morbidity and long-term survival after esophagectomy in the septuagenaian or old er paticants.Methods The clinical data of 58 patients 70 years of age and older with a mean age of 74 years after esopagectony were reviewed.the tumors averaged 4.5 cm in length. median,low and upper segrment of the tumors was 40%(23/58),33%(19/58) and 9%(5/58),respectively.58 patients included 3 patients in stage Ⅰ,23 in stage Ⅱ,27 in stage Ⅲ and 5 in stage Ⅳ,Histologic findings included squamous carcinoma in 52 and adenocacinoma in 6.all patients were performed left thoracotomy approach.Resulta Overall operative mortality was 8.6%(5/58).morbidity was 53% the 1、3、5 year sirvival rate was 56.8%.41.4% and 29.3%. Concliusions Operative mort ality and morbidity for this group is higher than that reported in younger patients,The long-term survival rate appears to belittle differerence between the younger and the older patients.
出处
《山西临床医药》
1997年第3期165-167,共3页
Shanxi Clinical Medicine
关键词
食管肿瘤
老年人
外科手术
Esophagectomy Operative mortality morbidity survi val rate
