老年乳腺癌203例外科治疗分析

Analysis of surgical treatment of breast cancer in 203 aged patients

目的评价老年妇女乳腺癌的手术效果，并重视其外科问题。方法分析并复查２０３例临床和随访资料。结果本组２０３例女性患者均进行手术。以改良根治术为主共９６例，占４７％；根治术５２例；扩大根治术５例；全乳切除术３９例；姑息性手术６例；电化疗术５例。本组术后３年、５年生存率分别为７７．２％和６８．２％。合并症７１％，术后并发症发生率１６．３％，术后死亡率１．５％。结论（１）老年乳腺癌经手术可改善生活质量，并有较高生存率，高龄并非是手术禁忌证。（２）内外科配合，重视并处理好合并症和术后并发症。（３）对每个患者应采取合适的术式和麻醉方法，术后精心护理。

Objective This study evluated the effect of operation in aged breast cancer patients,paying attention to the surgical problem. Methods The clinical and follow up data of 203 cases were reviewed. Results 203 patients were all treated by operation:modified radical mastectomy in 96 cases,radical mastectomy in 52 cases,extended radical mastectomy in 5 cases,mastectomy in 39 cases,palliative operation 6 cases and electrochemical therapy in 5 cases.The overall postoperative 3 and 5 year survival rates were 77 2% and 68 2%,respectively.Concomitant diseases,postoperative complications and mortality rates were 71%,16 3% and 1 5%,respectively. Conclusions (1)The operation improved the quality of life and raised the survival rate in elderly breast cancer patients.Old age was not a contraindiction of operation.(2)Surgery should be combined with medical treatment for the concomitant diseases and postoperative complications.(3)Different types of operations and anesthesias should be used for different patients.