安徽医学
安徽醫學
안휘의학
ANHUI MEDICAL JOURNAL
2015年
2期
173-175,176
,共4页
张干%王圣应%张安庆%任自学%张荣新
張榦%王聖應%張安慶%任自學%張榮新
장간%왕골응%장안경%임자학%장영신
高龄%食管癌%贲门癌%手术治疗%并发症
高齡%食管癌%賁門癌%手術治療%併髮癥
고령%식관암%분문암%수술치료%병발증
Elderly%Esophageal cancer%Cardiac cancer%Operation%Complication
目的:探讨高龄食管癌和贲门癌患者手术的可行性及围手术期注意事项。方法总结分析2012年7月至2014年7月收治的37例高龄(>75岁)食管和贲门癌患者(研究组)外科手术治疗的临床资料,并与同期手术治疗的61例(<65岁)食管和贲门癌患者(对照组)的术后并发症进行对比研究。结果研究组患者均平稳度过围手术期,无一例死亡;研究组与对照组并发症中吻合口瘘差异无统计学意义(P>0.05),但肺不张与肺炎、呼吸衰竭和心律失常差异有统计学意义(P<0.05)。结论高龄(>75岁)食管癌和贲门癌患者外科手术治疗可行,但易出现并发症,选择手术治疗需谨慎,加强围手术期管理很重要。
目的:探討高齡食管癌和賁門癌患者手術的可行性及圍手術期註意事項。方法總結分析2012年7月至2014年7月收治的37例高齡(>75歲)食管和賁門癌患者(研究組)外科手術治療的臨床資料,併與同期手術治療的61例(<65歲)食管和賁門癌患者(對照組)的術後併髮癥進行對比研究。結果研究組患者均平穩度過圍手術期,無一例死亡;研究組與對照組併髮癥中吻閤口瘺差異無統計學意義(P>0.05),但肺不張與肺炎、呼吸衰竭和心律失常差異有統計學意義(P<0.05)。結論高齡(>75歲)食管癌和賁門癌患者外科手術治療可行,但易齣現併髮癥,選擇手術治療需謹慎,加彊圍手術期管理很重要。
목적:탐토고령식관암화분문암환자수술적가행성급위수술기주의사항。방법총결분석2012년7월지2014년7월수치적37례고령(>75세)식관화분문암환자(연구조)외과수술치료적림상자료,병여동기수술치료적61례(<65세)식관화분문암환자(대조조)적술후병발증진행대비연구。결과연구조환자균평은도과위수술기,무일례사망;연구조여대조조병발증중문합구루차이무통계학의의(P>0.05),단폐불장여폐염、호흡쇠갈화심률실상차이유통계학의의(P<0.05)。결론고령(>75세)식관암화분문암환자외과수술치료가행,단역출현병발증,선택수술치료수근신,가강위수술기관리흔중요。
Objective To explore the operation feasibility in the elderly patients (>75 years old )with esophageal and cardiac cancer and the cautions in the perioperative period.Methods The surgery data of 37 cases of elderly patients (>75 years old)with esopha-gus and cardiac cancer (study group)in our hospital from Jul 2012 to Jul 2014 were collected and analyzed,and their postoperative compli-cations were compared with those of 61 patients (<65 years old)with esophageal and cardiac cancer (control group)treated with the same procedure.Results The 37 elderly patients with esophageal and cardiac cancer all rode out the perioperative period with no death.There had no statistical difference between the study group and the control group in the complication of anastomotic fistula (P>0.05 ),but the differences in the complications of pulmonary inflammation and atelectasis,respiratory failure and arrhythmia between the two groups were sta-tistically significant (P<0.05 ).Conclusion For the elderly patients (>75 years old)with esophageal and cardiac cancer,surgical treat-ment is feasible with higher risk of serious complications.It is essential to cautiously choose the suitable therapies for those patients and to strengthen management of the perioperative period.