225例老年食管贲门癌的临床研究

The clinical study to the old esophageal/cardiac carcinoma

目的:探讨老年食管贲门癌的临床特点,以提高远期疗效。方法:回顾性收集8年间在我科收治的2 206例食管贲门癌患者,其中高龄组(>70岁)225例,非高龄组1 981例,并比较两组的术前伴发病患病率,病理特征,术后并发症发生率,死亡率,3年生存率。结果:高龄组术前伴发病患病率高于非高龄组(P<0.01),高龄组病理恶性程度低(P<0.05),术后并发症发生率高龄组高于非高龄组(P<0.01),死亡率及3年生存率两组差异无显著性(P>0.05)。结论:高龄并非手术禁忌症,避免扩大根治术,加强围手术期管理,是手术成功的关键。

Objective： To discuss the clinical characteristics with old esophageal/cardiac carcinoma to increase the long -term effect. Methods ： The study was designed as review of 2206 patients with esophageal/cardiac carcinoma. The number of elder group （ 〉 70 years） are 225 samples, and the number of younger group are 1981 samples. Results： The incidence of preoperative complication, pathological characteristics, postoperative complication incidence of the elder group were significant higher than those of younger group （ P 〈 0.01 ）. Pathological malignant of elder group lower than that of younger group （ P 〈 0.05 ）. The death rate and 3 years survival rate between elder group and younger group had no statistical significance （ P 〉 0.05 ）. Conclusions ： It is not an operation contraindication for elder. The key for operation success is to avoid surgical resection and to strengthen preoperative management.