CAJ | 학술논문

目的探讨高龄食管癌和贲门癌患者的外科手术选择及围手术期处理方法 . 方法回顾性分析1088例食管癌和贲门癌患者的临床资料,分为70岁以下(41～69岁)、70～74岁、75～79岁、80岁以上(80～90岁)4组.统计4组患者术后并发症、住院时间及预后,并对手术选择和围手术期治疗措施进行分析. 结果 70岁以上食管癌和贲门癌患者术后肺部感染、心律失常、精神症状和切口不愈的发生率明显上升,术后住院时间明显延长;80岁以上的高龄患者术后肺部感染发生率和术后住院时间较其他年龄段明显上升.全组痊愈1084例,死亡4例. 结论在高龄食管癌和贲门癌患者中,了解开胸术后并发症发生状况,加强对肺部感染的预防和治疗是决定手术成败的关键.
목적 탐토고령식관암화분문암환자적외과수술선택급위수술기처리방법 . 방법 회고성분석1088례식관암화분문암환자적림상자료,분위70세이하(41～69세)、70～74세、75～79세、80세이상(80～90세)4조.통계4조환자술후병발증、주원시간급예후,병대수술선택화위수술기치료조시진행분석. 결과 70세이상식관암화분문암환자술후폐부감염、심률실상、정신증상화절구불유적발생솔명현상승,술후주원시간명현연장;80세이상적고령환자술후폐부감염발생솔화술후주원시간교기타년령단명현상승.전조전유1084례,사망4례. 결론 재고령식관암화분문암환자중,료해개흉술후병발증발생상황,가강대폐부감염적예방화치료시결정수술성패적관건.
Objective To explore the operative treatment of esophageal carcinoma or carcinoma of gastric cardia in patients aged 70 years or older. Methods　One thousand and eighty eight patients with esophageal cancer or carcinoma of gastric cardia were retrospectively reviewed.These patients were divided into 4 groups:aged 41～69,70～74,75～79 and 80～90 years.The postoperative complications,hospjtalization time,prognosis, operative selection and perioperative treatment were analyzed. Results　Incidences of complications of pulmonary infection,arrhythmia,psychiatric symptom and unhealing of surgical incision were obviously increased,and the average hospitalization time were significantly prolonged in patients aged 70 years or older.Incidence of pulmonary infection and the average hospitalization time were significantly increased in patients aged 80～90 years compared with other groups.There were 4 death cases and 1084 cured cases. Conclusions　With regard to elderly patients for esophageal carcinoma or carcinoma of gastric eardia,handling the occurrence of postoperative complications,selecting suitable patients to take operation and appropriate perioperative treatments are the keys for successful operation.