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目的探讨老年人残胃癌的临床特征及手术治疗效果。方法回顾分析北华大学附属医院2006-02-2010-05收治的60岁以上40例残胃癌的临床资料。结果 40例患者38例手术治疗,根治性切除26例,姑息性切除6例,单纯探查6例,未手术和单纯探查者均于3~6个月内死亡;姑息性切除者分别存活8~14个月;根治性切除术后1、3、5 a生存率分别为84.6%、46.2%、23.08%。结论老年人残胃癌早期症状不典型,争取早期诊断,行根治性手术是治疗本病的有效方法。
Objective To investigate the clinical features and surgical treatment of residual gastric cancer in the elderly. Methods The clinical data of 40 cases of gastric cancer over the age of 60 admitted to the Affiliated Hospital of Beihua University from February 2006 to June 2010 were retrospectively analyzed. Results Surgical treatment of 38 cases in 40 cases, radical resection in 26 cases, palliative resection in 6 cases, simple exploration in 6 cases, without surgery and simple exploration were within 3 to 6 months of death; palliative resection were survival of 8 ~ 14 months. The survival rates at 1, 3 and 5 days after radical resection were 84.6%, 46.2% and 23.08% respectively. Conclusion Elderly patients with gastric atypical early symptoms, for early diagnosis, radical surgery is an effective method of treatment of the disease.