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目的 重点讨论手术方式对老年性胃癌根治术预后的关系。 方法 回顾分析 1995年 1月～2 0 0 0年 1月共收治的 83例 6 5岁以上老年性胃癌根治术随访 3年 ,分析手术方式和心肺合并症的关系及其对死亡的影响。 结果 三年后U区癌心肺合并症死亡 2 6例 (2 6 / 83,31 1% ) ,M区癌心肺合并症死亡 2例 (2 / 83,2 4 % ) ,L区癌心肺合并症死亡 8例 (8/ 83,9 6 % ) ,M区和L区共计 10例 (10 / 83,12 % )。两组 (U区与M +L区 )死亡率相比有显著差异 ,P <0 0 1。 结论 U区开胸手术易引起心肺合并症 ,是老年性胃癌根治术后死亡率增高的主要原因。
Objective To discuss the relationship between the surgical methods and the prognosis of radical gastrectomy for gastric cancer. Methods A total of 83 cases of elderly patients with gastric cancer over 65 years of age who were admitted to our hospital from January 1995 to January 2000 were followed up for 3 years. The relationship between the surgical methods and cardiopulmonary comorbidity and their effects on death were analyzed. Results Three years later, 26 cases (26/83, 31 1%) died of cancer cardiorespiratory complications in U district, 2 cases died of cancer cardiopulmonary complications in area M (2 / 83,24%), There were 8 deaths (8 of 83,96%), 10 of them were M and L (10 / 83,12%). There was a significant difference in mortality between the two groups (U and M + L zones, P <0.01). Conclusions Thoracotomy in U district may lead to cardiopulmonary comorbidities and is the main reason for the increased mortality after radical gastrectomy.