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目的 :探讨高龄食管、贲门癌患者的生理特点和手术治疗的可行性。方法 :对 92例 70岁以上食管、贲门癌患者在全麻下施行食管癌根治术。结果 :92例患者发生术后并发症 18例 ,占 2 0 % ;痊愈 90例 ,占 97.8% ;死亡 2例 ,占 2 .2 %。结论 :年龄非手术禁忌因素 ,对 ～ 期高龄食管、贲门癌患者 ,尽量争取手术根治 ,只要严格掌握手术指征、正确处理围术期并发症 ,手术治疗是可行的。
Objective: To investigate the physiological characteristics of elderly patients with esophageal and cardiac cancer and the feasibility of surgical treatment. Methods: 92 patients with esophageal cancer under 70 years of age underwent esophagectomy under general anesthesia. Results: Ninety-two patients had postoperative complications in 18 cases (20%), 90 cases recovered (97.8%), and 2 died (2.2%). Conclusion: The age of non-surgical taboo factors, for advanced esophageal and gastric cardia cancer patients, try to fight for radical surgery, as long as the strict surgical indications, the correct management of perioperative complications, surgical treatment is feasible.