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目的探讨高龄胃癌患者的临床表现、治疗特点及其对术后并发症的影响,以及高龄胃癌患者的围手术期处理。方法回顾性分析手术治疗的101例高龄胃癌患者的临床资料,着重分析术前合并症与术后并发症的治疗。结果大于70岁的高龄胃癌患者(高龄组)有临床表现多无特异性、病变部位及范围不同、术前合并症多等临床特点。高龄组术前合并症发生率为49.5%(50例),对照组(小于70岁的胃癌患者)为21.3%,两组差异有统计学意义(P<0.05);高龄组术后并发症发生率为18.8%,对照组为15.2%,但两组无统计学差异(P>0.05);高龄组胃癌手术切除98例(97.0%),其中根治性切除87例(86.1%)。结论高龄胃癌患者术前合并症较多,术后并发症发生率也较高。加强此类患者的围手术期处理,对减少术后并发症,提高生存率和生活质量有重要意义。
Objective To investigate the clinical manifestations, characteristics of treatment and its impact on postoperative complications in patients with advanced gastric cancer and the perioperative management of patients with advanced gastric cancer. Methods The clinical data of 101 patients with advanced gastric cancer treated by surgery were retrospectively analyzed. The preoperative complications and postoperative complications were analyzed. Results More than 70 years old patients with advanced gastric cancer (advanced age group) have more clinical features of non-specific, lesion location and scope, preoperative complications and other clinical features. The incidence of preoperative complications was 49.5% (50 cases) in the senior group and 21.3% in the control group (less than 70 years old), the difference was statistically significant (P <0.05). The postoperative complications The rate was 18.8% in the control group and 15.2% in the control group, but there was no significant difference between the two groups (P> 0.05). In the advanced group, 98 cases (97.0%) were treated by gastric resection and 87 cases (86.1%) were radical resection. Conclusion There are more preoperative complications in patients with advanced gastric cancer and higher incidence of postoperative complications. Strengthening perioperative management of such patients, to reduce postoperative complications, improve survival and quality of life of great significance.