论文部分内容阅读
目的 通过对高龄食管癌患者围手术期治疗情况的分析 ,探讨 ,高龄食管癌患者的术前病情特点及术后常见并发症的原因及处理方法 ,以提高高龄食管癌手术治疗效果。方法 对我院近年来手术治疗的 42例病历进行回顾性分析。结果 本组共有 2 3例患者存在术前合并症。行根治术或姑息切除术 3 4例 ,行探查术 7例 ,出现术后并发症 2 7例 ,其中近期术后并发症 19例 ,远期并发症 8例。治愈 2 7例 ,好转 7例 ,死亡 1例 ,自动出院 6例 ,未治 1例。结论 了解高龄食管癌疾病的特点对合理制定治疗方案有重要作用 ,合理的术式选择是减少术后并发症及提高术后生活质量的前提。高龄食道癌患者术前合并症较多 ,对术后病情恢复影响较大 ,术后近期并发症发生率较高 ,其原因与术前患者有无合并症及处理是否彻底、术后处理及外科医生手术操作是否规范有关。提高外科医生手术技巧和加强围手术期处理能有效避免术后并发症的发生。
Objective To analyze the perioperative treatment of elderly patients with esophageal cancer, to explore the characteristics of preoperative patients with esophageal cancer and the causes and treatment of common postoperative complications in order to improve the efficacy of surgical treatment of advanced esophageal cancer. Methods A retrospective analysis of 42 cases of surgical treatment in our hospital in recent years. Results A total of 23 patients in this group had preoperative complications. There were 34 cases underwent radical surgery or palliative resection, 7 cases underwent exploratory operation, and 27 cases had postoperative complications, of which 19 cases had immediate postoperative complications and 8 cases had long-term complications. 27 cases were cured, 7 cases improved, 1 died, 6 cases were discharged automatically, and 1 case was not cured. Conclusion Understanding the characteristics of esophageal cancer in elderly patients plays an important role in the rational formulation of treatment plans. Reasonable choice of surgical procedures is a prerequisite to reduce postoperative complications and improve postoperative quality of life. The elderly patients with esophageal cancer more preoperative complications, postoperative recovery of the greater impact on the incidence of postoperative complications is higher, the reason and preoperative patients with or without complications and treatment, postoperative management and surgery Doctors about the operation of the norms. Surgery to improve surgical skills and strengthen perioperative management can effectively prevent the occurrence of postoperative complications.