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外科切除是治疗食管癌的首选方法.过去由于种种原因对高龄患者,尤其是70岁以上老年患者,施以手术治疗较少.随着现代医学的不断发展和手术技巧的进一步完善,老年人食管癌的外科治疗近年来已有报道,但临床经验不多.我院1978年1月～1988年1月手术治疗资料完整的70岁以上(包括70岁)老年人食管癌27例,现报告如下.1 临床资料性别与年龄:本组27例,男22例,女5例.男女之比为4.4:1.年龄均≥70岁,最高年龄78岁.一般情况及术前并发病:主诉以吞咽困难为主(92.6%).病程<3个月18例,3～6个月5例.>6个月4例.营养良好7例.中等12例,消瘦8例.术前有并发病19例,其中高血压2例,低血压1例,心电图示异常9例,肺气肿2例,肺结核2例,糖尿病2例,支气管炎1例.
Surgical resection is the preferred method for the treatment of esophageal cancer. In the past, due to various reasons, the elderly patients, especially elderly patients over the age of 70, were treated less surgically. With the continuous development of modern medicine and further improvement of surgical skills, the elderly esophagus Surgical treatment of cancer has been reported in recent years, but the clinical experience is not much. Our hospital from January 1978 to January 1988 surgical treatment of complete data over the age of 70 (including 70 years) elderly esophageal cancer in 27 cases, the report is as follows .1 Clinical data on gender and age: 27 cases in this group, 22 males and 5 females. The ratio of males and females was 4.4:1. The age was ≥70 years and the maximum age was 78 years. The general situation and preoperative complications: the chief complaint Dysphagia was predominant (92.6%). The course of disease was less than 3 months in 18 cases, 3 to 6 months in 5 cases,> 6 months in 4 cases. Nutrition was good in 7 cases, moderate in 12 cases, weight loss in 8 cases. Preoperative complications 19 cases, including 2 cases of hypertension, 1 case of hypotension, electrocardiogram abnormalities in 9 cases, 2 cases of emphysema, 2 cases of pulmonary tuberculosis, 2 cases of diabetes, 1 case of bronchitis.