摘要
目的 :研究老年人胃恶性肿瘤的治疗及影响预后的因素 ,以期改善他们的生存率。方法 :1984— 1995年共收治 70岁以上的老年胃恶性肿瘤 110例。 6 0例行根治术 ,2 2例行姑息切除 ,2 4例行探查术 ,4例行胃空肠吻合术。结果 :根治术的三年、五年生存率分别是 6 8.4%和 5 5 .0 8%。术后总的并发症为 16 .36 % (19/ 110 ) ,病死率是 1.8% (2 / 110 )。多因素分析显示 :分期和行根治术与预后有关。结论 :老年人免疫状态差 ,手术风险大。纠正和改善其各种状况 ,在围手术期间给以特别的关心和护理 ,争取做根治术 。
Purpose: To study the clinical treatment and prognosis of gastric cancer in elderly patients. Methods: From 1984 to 1995, 110 old patients with malignant tumor in stomach were treated in this hospital. All 110 patients received surgery with radical resections in 60 cases, palliative resections in 22 cases, laparotomy in 24 cases, and gastrojejunostomy in 4 cases. Results: Postoperative complication was 16. 36%, mortality was 1. 8%. The overall 3- and 5- year survivals for radical resections were 68. 4%, 55. 08%, respectively. Multivariate analyses showed that the favorable factors for prognoses were stage and radical resection. Conclusions: It is recommended that radical resection should be performed for malignant tumors of stomach in old patients. Although the risks of complication morbidity and surgery mortality are more likely to be higher after surgery for the elderly, the outcome would be better if more attention were paid, to improve patients general condition, and correct management after surgery.\;
出处
《中国癌症杂志》
CAS
CSCD
2001年第5期456-458,共3页
China Oncology
关键词
老年人
胃肿瘤
根治术
预后
elderly
malignant tumour in stomach
radical resection
