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目的:提高老年人早期食管癌的诊断率和评价外科治疗效果。方法:对1975年3月～1997年1月手术治疗老年人早期食管癌25例的临床资料进行回顾性分析。结果:手术切除率100%,手术并发症率40%,无手术死亡。3、5和10年生存率分别为889%(16/18)、800%(8/10)和714%(5/7)。结论:在门诊工作中重视早期食管癌的临床症状,采用多种检查方法进行综合分析可提高老年人早期食管癌的诊断率,对早期食管癌应提倡积极的手术治疗。
Objective: To improve the diagnosis of early esophageal cancer in the elderly and evaluate the effect of surgical treatment. Methods: Retrospective analysis was performed on the clinical data of 25 cases of early esophageal cancer in the elderly from March 1975 to January 1997. Results: The resection rate was 100%, the surgical complication rate was 40%, and no operative death occurred. The 3, 5, and 10-year survival rates were 889% (16/18), 800% (8/10), and 714% (5/7). Conclusion: The clinical symptoms of early esophageal cancer are valued in outpatient work. Comprehensive analysis using a variety of examination methods can improve the early diagnosis rate of esophageal cancer in the elderly. Active surgical treatment should be promoted for early esophageal cancer.