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目的探讨老年胃癌围手术期处理的有关问题。方法回顾性分析2005-01-2011-04在焦作市人民医院诊治的46例65岁以上老年胃癌患者的临床资料。结果 31例行胃癌切除术,切除率为67.4%;后发生并发发生率为30.4%,其中有并存病者发生率为35.3%(12/34),无并存病者发生率为16.7%(2/12),二者差异有统计学意义(P<0.05);死亡1例。结论加强对老年胃癌患者的围手术期处理,是降低老年胃癌患者并发症和病死率的关键。
Objective To investigate the related issues of perioperative management of elderly patients with gastric cancer. Methods The clinical data of 46 patients with gastric cancer over the age of 65 who were diagnosed and treated in Jiaozuo People ’s Hospital from January 2005 to November 2011 were retrospectively analyzed. Results The resection of gastric cancer was performed in 31 cases, the resection rate was 67.4%. The incidence of postoperative complications was 30.4%. The incidence rate of concurrent patients was 35.3% (12/34), and that of non-concurrent patients was 16.7% (2 / 12), the difference was statistically significant (P <0.05); 1 patient died. Conclusion Strengthening perioperative management of elderly patients with gastric cancer is the key to reducing the complication and mortality of elderly patients with gastric cancer.