CAJ | 학술논문

目的：探讨年龄在80岁左右的老年胃癌患者行胃癌根治术后并发症的发生情况。方法：收集我院2004年1月－2008年12月行胃癌根治术的165例老年胃癌患者的临床资料，并分为2组：A组年龄70－80岁（n＝132例）；B组年龄≥80岁（n＝33例）。对两组患者的术前合并症、手术结果及手术后并发症进行了回顾性分析研究。结果：两组患者在术前合并症的发生率上无明显差异（p＞0．05）。B组患者术前常规检查中淋巴细胞计数、血红蛋白及白蛋白的量较A组患者低（p＜0．05）。年龄≥80岁胃癌患者的术前肺功能、血气分析结果较小于80岁的患者差（p＜0．05）。B组患者术后出现呼吸功能不全及吻合口漏的发病率明显高于A组患者（p＜0．05），且超老年患者胃肠功能恢复所需时间延长（p＜0．05）。结论：年龄大于80以上的胃癌患者术后容易出现呼吸功能障碍，术前需要充分评估患者的呼吸功能、营养状况等。
목적：탐토년령재80세좌우적노년위암환자행위암근치술후병발증적발생정황。방법：수집아원2004년1월－2008년12월행위암근치술적165례노년위암환자적림상자료，병분위2조：A조년령70－80세（n＝132례）；B조년령≥80세（n＝33례）。대량조환자적술전합병증、수술결과급수술후병발증진행료회고성분석연구。결과：량조환자재술전합병증적발생솔상무명현차이（p＞0．05）。B조환자술전상규검사중림파세포계수、혈홍단백급백단백적량교A조환자저（p＜0．05）。년령≥80세위암환자적술전폐공능、혈기분석결과교소우80세적환자차（p＜0．05）。B조환자술후출현호흡공능불전급문합구루적발병솔명현고우A조환자（p＜0．05），차초노년환자위장공능회복소수시간연장（p＜0．05）。결론：년령대우80이상적위암환자술후용역출현호흡공능장애，술전수요충분평고환자적호흡공능、영양상황등。
Objective:This study investigated the clinical outcomes of patients around 80 years old, who underwent gastrectomy for gastric cancer. Methods:A total of 165 patients who underwent gastrectomy for gastric cancer were assigned into two groups:70-80 years group (n=132);and ≥80 years group (n=33). Preoperative comorbidities,operative results,and postoperative outcomes were retrospectively analyzed. Results:In terms of concurrent illness preoperation,no significant differences were observed between groups (p>0. 05 ). Preoperative lymphocyte count,hemoglobin level and serum albumin levels were significantly lower in the≥80 years group than in the 70-80 years group (p<0. 05 ). The results of pulmonary function and blood gas analysis was worse in the ≥80 years group (p<0. 05 ). Incidence of postoperative respiratory incompetence and anastomotic leak was higher in the ≥80 years group than in the 70-80 years group (P<0. 05 ). Time for gastrointestinal function recovery was longer in the ≥80 years group (p<0. 05 ). Conclusion:Patients over 80 years old are more likely to suffer postoperative respiratory incompetence after gastrectomy than younger old patients. Preoperative risk assessment is essential for the oldest old patients.