文档介绍：临床医学论文-外科治疗高龄食管癌贲门癌
【摘要】  目的  探讨高龄食管癌贲门癌病人围手术期的处理、手术的可行性和术式的选择。方法  82例70岁以上高龄患者的围手术期处理及术式的选择进行回顾性总结和分析。结果  %(76/82),%(6/82)。%(36/82),%(7/82)。结论  对高龄食管癌贲门癌患者应严格控制适应证及适宜的术式,加强围手术期的管理。
【关键词】  高龄;  食管癌;  贲门癌;  外科治疗 
  
Surgery for elderly patients with esophageal and cardiac carcinoma
【Abstract】  Objective  To study the management for elderly patients with esophgeal and cardiac carcinoma in the perioperative period and the indication as well as the operative models   Retrospective summay and analysis were done to 82 patients over 70 years of age in treatment of period of perioperation and selection of operative   Tumor resection rate was %(76/82),jejunostomy was %(6/82) in this morbidity plications was %(36/82)and mortality was %(7/82)after operation   The indication ought to be strictly controlled,operative procedures suitably selected and the management in period of perioperation strengthened to elderly patients with esophageal and cardiac carcinoma.
【Key words】  elderly patients;esophageal carcinoma; cardiac carcinoma; surgery
    食管癌和贲门癌是中老年人的常见病,随着年龄结构的老年化,高龄食管癌和贲门癌的发生率有所增加。自1980年11月~2005年1月共收治需外科治疗的高龄食管癌和贲门癌82例,现报告如下。
1  资料与方法
  一般资料  本组82例患者中,男64例,女18例;年龄70~83岁,。病程1个月~1年。食管癌57例,贲门癌25例。全部病例术前经钡餐造影及纤维胃镜确诊。活检病理结果:鳞状细胞癌57例,腺癌25例。在食管癌病例中有9例为