【摘要】 目的探讨老年人贲门癌的临床病理特点及治疗原则。方法回顾性分析我院1995～2002年70岁以上老年贲门癌72例患者的临床资料。结果本组患者平均发病年龄72.6岁,男女比例6.2∶1。术前合并心肺功能异常57例(79.2%)。病理类型以高、中分化腺癌为主(40例,55.5%);Borrmann分型Ⅱ～Ⅲ型64例(88.9%);PTNM分期Ⅱ～Ⅳ期68例(94.4%)。经腹手术68例,其中根治性手术54例;胸腹联合切口4例。术后出现并发症9例(15.5%),其中肺部感染4例,切口感染裂开1例,吻合口瘘2例,心肺功能不全2例。死亡2例。结论高龄贲门癌患者病理类型以中高分化腺癌为主,术前合并症多,手术应强调规范化与个体化兼顾的原则。更多还原

【Abstract】 Objective To explore the clinicopathological characteristics and rational treatment of cardiac cancer in senile patients. Methods Clinical data of seventy two cases of elder than 70 years old with cardiac cancer in our hospital from 1995 to 2002 were analyzed retrospectively. Results The average age of the patients was 72.6 years,and the male to female ratio was 6.2∶1. 79.2%(57/72) of the cases had preoperative coexistent cardiopulmonary diseases. There was a predominance of middle and well differentiated adenocarcinoma(55.6%). Borrmann type Ⅱand Ⅲ88.9%,and PTNM stageⅡ～Ⅳ94.4%in these cases. The radical resection rate was 84.4%. Postoperative complications occurred in 9 cases and the morbidity rate was 15.5%,including 4 lung infections,1 incision infection,2 anastomostic fistula and 2 cardiopulmonary dysfunctions. The mortality was 2.8%(2/64). Conclusions The middle and well differentiated adenocarcinoma and Borrmann type Ⅱ～Ⅲare the main histological and gross types in senile cardiac cancer patients.Preoperative coexistent diseases are common. Appropriate perioperative managements should be performed to decrease the morbidity and mortality.更多还原