450例高龄食管癌和贲门癌外科治疗结果分析

Analysis of the Results of Surgical Treatment of 450 Cases Esophageal and Cardiac Carcinoma in the Elderly

我院1981～1985年五年间,外科治疗食管癌和贲门癌1530例。其中60岁以上(高龄组)450例,59岁以下(非高龄组)1080例。二者比较高龄组切除率88％,非高龄组90.1％。五年生存率高龄组38.4％,非高龄组35％。前两者比较差异无显著性(P>0.05)。切除死亡率高龄组5.3％,非高龄组3.5％,二者比较差异有显著性(P<0.05)。导致高龄患者切除死亡率高的主要原因是术前并存症的存在。本文重点对高龄病人术前并存症的处理,以及术后并发症的防治进行了讨论。

One thousand five hundred and thirty cases of esophageal and cardiac carcinoma were treated in our hospital from 1981 to 1985. Among them 450 cases were over 60 years old(the elder group). 1080 cases were below 59(the non-elder group). The resection rate of the elder group was 88%, and the non-elder group was 90.1%, The 5-year survival rate of the elder was 38.4% and that of the non-elder was 35%. There was not much difference between the two contrasts. The mortality rate of resection in the elder group was 5.3%,and that in the non-elder group was 3.5%. There was much difference between them. The main reason for the increase of the mortality rate in the elder group was the existence of complications. Preoperative treatment and preparation and postoperative prevention measures against complications are discussed.