CAJ | 학술논문

老年胃癌患者围手术期并发症及其处理
노년위암환자위수술기병발증급기처리
The clinical features and surgical complications of elderly gastric carcinoma cases

万方数据

中华普通外科杂志中華普通外科雜誌 중화보통외과잡지
CHINESE JOURNAL OF GENERAL SURGERY
2008年 10期 777-780 ,共4页

刘颖斌%蔡炜龙%王勇%王许安%马孝明%孔颖%陈燕%Devkota KR%王建伟%李江涛%唐喆%方河清%彭淑牖

류영빈%채위룡%왕용%왕허안%마효명%공영%진연%Devkota KR%왕건위%리강도%당철%방하청%팽숙유

胃肿瘤%手术后并发症%病理学,临床胃腫瘤%手術後併髮癥%病理學,臨床
위종류%수술후병발증%병이학,림상
Stomach neoplasms%postoperative complications%Pathology,clinical

目的研究老年胃癌患者的临床特点,总结老年胃癌患者的年龄、术前各种合并症等对术后并发症发生的影响.方法总结自2005年1月至2007年1月接受手术的181例胃癌患者的临床资料,其中老年患者(年龄大于65岁者)65例,回顾性分析老年胃癌患者的年龄、术前各种合并症与术后并发症发生的关系.结果老年胃癌组术前合并症总发生率为83%,非老年胃癌组为59%;老年胃癌组中有52%存在2种或2种以上合并症,发生率最高的合并症为高血压,达40%;老年胃癌患者的根治率为86%,非老年胃癌组的根治率为93%;老年胃癌组术后并发症的发生率为37%,术前合并高血压、糖尿病、肺部疾病、低蛋白血症、贫血者术后并发症发生率较高.结论老年胃癌患者手术治疗后的总并发症发生率和病死率与非老年胃癌患者相比无差异.
목적 연구노년위암환자적림상특점,총결노년위암환자적년령、술전각충합병증등대술후병발증발생적영향.방법 총결자2005년1월지2007년1월접수수술적181례위암환자적림상자료,기중노년환자(년령대우65세자)65례,회고성분석노년위암환자적년령、술전각충합병증여술후병발증발생적관계.결과 노년위암조술전합병증총발생솔위83%,비노년위암조위59%;노년위암조중유52%존재2충혹2충이상합병증,발생솔최고적합병증위고혈압,체40%;노년위암환자적근치솔위86%,비노년위암조적근치솔위93%;노년위암조술후병발증적발생솔위37%,술전합병고혈압、당뇨병、폐부질병、저단백혈증、빈혈자술후병발증발생솔교고.결론 노년위암환자수술치료후적총병발증발생솔화병사솔여비노년위암환자상비무차이.
Objective To study the clinical features and postoperative complications for gastric carcinoma in the patients older than 65 years. Methods From January 2005 to January 2007, 65 elderly gastric carcinoma cases underwent surgical resection, the age related preoperative and postoperative complications were analyzed. Result The incidence of preoperative complications in elderly gastriccarc inoma patients is 83%, compared with younger group of 59%; Preoperatively, 52% elderly cases presented with two or more complications. The incidence of hypertension was the highest (40%), the radical curative rate for the elderly group was 86% as compared with younger group of 93%. The postoperative complications in elderly group was 37%. In elderly cases, postoperative complications were common in those suffering from preoperative complications such as hypertension, diabetes, respiratory diseases, anaemia, hypoalbuminemia. Conclusion The age itself is not a single influential factors indicating postoperative complications. There was no significant difference in the morbidity and mortality between elderly and younger gastric carcinoma cases undergoing a surgery.