文档介绍：1 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。结果本组手术切除率 % ( 76/82 ), 空肠造瘘术 % ( 6/82 )。术后并发症发生率 % ( 36/82 ), 死亡率 % ( 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。论文联盟。【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 2 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 group. The 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 3 一般资料本组 82 例患者中,男 64 例,女 18例; 年龄 70~ 83岁, 平均 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