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[目的]探讨新疆地区妇科恶性肿瘤老年患者围手术期的临床特点及处理。[方法]回顾性分析2006年1月至2011年11月接受手术治疗的三大妇科恶性肿瘤老年患者的临床资料,以妇科恶性肿瘤老年患者(年龄≥60岁)52例为研究组,同期妇科恶性肿瘤中年患者(40~59岁)123例为对照组,分析两组患者的围手术期特点及处理。[结果]老年组患者术前合并症明显高于对照组,但是两组患者手术时间、术后并发症发生率、术中出血量、术中输血率及术后住院时间比较并无显著性差异。老年妇科恶性肿瘤以卵巢癌和子宫内膜癌为主。[结论]绝大部分妇科恶性肿瘤老年患者能够耐受手术治疗,因此完善老年妇科肿瘤患者围手术期的处理措施是非常必要的。
[Objective] To investigate the clinical features and treatment of elderly patients with gynecologic malignancies in the perioperative period in Xinjiang. [Methods] The clinical data of three gynecologic malignancies undergoing surgery from January 2006 to November 2011 were retrospectively analyzed. Among them, 52 elderly patients (≥60 years old) with gynecologic malignancy were selected as the study group, while the gynecology 123 cases of middle-aged patients with malignant tumors (40-59 years old) as control group, the characteristics and treatment of perioperative period in both groups were analyzed. [Results] The preoperative complications in the elderly group were significantly higher than those in the control group, but there was no significant difference between the two groups in the operation time, postoperative complication rate, intraoperative blood loss, intraoperative blood transfusion rate and postoperative hospital stay . Elderly gynecological malignancies to ovarian cancer and endometrial cancer-based. [Conclusion] The majority of gynecologic malignancies in elderly patients are able to tolerate surgery, so perioperative management of elderly gynecologic oncology patients is very necessary.