老年胃癌手术治疗效果分析

Efficacy of surgical treatment for gastric cancer in elderly patients

目的:探讨高龄胃癌病人的外科治疗方法及疗效。方法:回顾分析2000年5月-2005年5月间61例65岁以上胃癌病人的外科治疗资料。结果:高龄胃癌病人初次就诊时间晚,平均7.2个月,并存病多(73.4%),肿瘤切除率为88.5%,围手术期病死率为3.3%。结论:手术切除是高龄胃癌病人的最佳治疗方法,手术治疗有助于提高高龄胃癌病人的生存率和生活质量,早期诊断,早期治疗,合理处理并存病,选择适当的麻醉和手术方式,有效预防和治疗并发症是提高疗效的关键。

Objective To study the surgical treatment and efficacy for gastric cancer in elderly patients. Methods Data of surgical treatment for gastric cancer in 61 patients over 65 years of age from 2000-2005 were retrospectively analyzed. Results The average period of the first time for the patients to seek for medical advice was 7.2 months ,most of whom had complications with other diseases （73.4%）. Tumor resection rate was 88.5% ,and operation mortality was 3.3%. Conclusion Surgical treatment can improve survival rate and quality of life of elderly patients with gastric cancer,and is the best therapy for them. Early diagnosis,appropriate treatment,correct management of preexisting diseases ,appropriate choice of anesthesia and operation procedure ,effective prevention and treatment of complication are critical ways for the elderly patients with gastric cancer.