高海拔地区老龄食管癌贲门癌的外科治疗

A SURGICAL TREATMENT OF THE ESOPHAGEAL AND CARDIA CARCINOMA ON SENILE PATIENTS AT HIGH ALTITUDE

目的：提高高海拔地区老龄食管癌、贲门癌患者的治愈率。方法：对46例60岁以上食管癌、贲门癌患者外科手术治疗后的资料进行了回顾总结性分析。结果：食管癌14例，胃底贲门癌32例；其中根治性手术32例，占69．5％，姑息性手术8例，占17．3％，探查6例；术后出现并发症15例，占32．6％，其中死亡2例，占4．3％。结论：正确有效的围手术期处理，适当的手术方法，是提高治愈率，预防手术并发症，降低死亡率的关键，故对高海拔地区60岁以上食管癌、贲门癌病人的手术治疗也应持积极态度。

Objective:To raise cure rate of the esophageal and cardia carcinoma in senile patients at the high altitude. Methods: 46 senile patients(age＞60 years old)with the esophageal or cardia carcinoma admitted to were operated during Feb. 1991 to Nov. 1995,and the patients'material were taken a systematic retrospective analysis. Results:All of data included 14 cases of the esophagealcarcinoma and 32 cases of the cardia carcinoma,and 32 cases were taken the radical operation (69.5％). 8 cases were carried out Palliative operation(17. 3％ ). 6 cases were explored only. Thepostoperation complications were discovered on 15 patients with the incidence of 32．6％. Twopersons died of the complications. Conclusions:It is important to prevent complication and reduce the mortality that the treatmeat of pert-operation was emphashzed and a operation mode was properly choshen. Another way,the surgical treatment of the esophageal or the cardia carcinomain senile patients at high altitude must have a active aptitude.