老年期与老年前期头颈恶性肿瘤术后并发症的比较

Comparison of the post-operative complication in head-neck malignant neoplasms between aged and pre-aged

目的 :比较老年前期与老年期患者在头颈肿瘤手术后的并发症。方法 :老年前期组与老年组均采用手术治疗。老年前期组术前放疗 2 6例 ,术后放疗 13例 ;老年组术前放疗 4 0例 ,术后放疗 6例。结果 :老年组并发症明显高于老年前期组 ( P <0 .0 1) ,老年组并发症以心肺及泌尿系统为多见 ;而老年前期组以伤口并发症为主。结论 :手术前必须认真了解患者病情 ,选择适当的手术方式。年龄不是决定肿瘤治疗方法的主要原因。

Objective: To compare the post operation complication of head neck maglinant tumor in the aged with pre aged.Method:80 aged and 92 pre aged cases of head neck tumor were performed operation.In the aged group,26 cases were performed with preoperative radiotherapy and 13 cases with postoperative radiotherapy.In the pre aged group,40 cases were performed with preoperative radiotherapy and 6 cases with postoperative radiotherapy.Result:The incidence of complication in the aged is higher than that in the pre aged group. Moreover, the post surgery complications of tumor in head and neck in the aged preferably appear in the cardiopulmones and urology. In contrast, most of the complication in the pre aged appears in the incision of operation.Conclusion:Prior to surgery, we should clear with the situation of patients, and consequently choose appropriate methods of operation. Age does not play an essential role in the decision of the methods of operation.