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目的:探讨老年人胃癌的临床特点、外科治疗方法及预后。方法:回顾性分析165例老年人胃癌患者的临床资料。结果:老年胃癌以中、高分化腺癌多见,常伴发其他系统疾病;所有患者均行手术治疗,其中根治性切除108例,姑息性切除31例,其他26例;术后39例出现并发症。结论:对老年胃癌患者应充分做好术前准备,创造和选择恰当的手术时机,及时发现处理好相关并发症,降低病死率,提高患者生存质量。
Objective: To investigate the clinical features, surgical treatment and prognosis of gastric cancer in the elderly. Methods: A retrospective analysis of 165 elderly patients with gastric cancer clinical data. Results: Elderly gastric cancer was more common in patients with moderate and high differentiated adenocarcinoma, often accompanied by other systemic diseases; all patients underwent surgical treatment, including radical resection in 108 cases, palliative resection in 31 cases and other 26 cases; 39 cases occurred complication. Conclusion: The elderly patients with gastric cancer should be fully prepared preoperatively to create and select the appropriate timing of surgery, timely detection and treatment of related complications, reduce mortality and improve patient quality of life.