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目的 探讨高龄食管癌、贲门癌患者的临床特征及围手术期处理。方法 对经外科治疗的57例70岁以上的高龄食管癌、贲门癌患者的临床资料进行回顾性分析。结果 高龄食管癌、贲门癌患者首发症状不典型,术前病程长(平均6. 5月),大多为进展期中晚期癌(91. 2% );术前合并症35例(64. 1% ),无手术死亡病例。结论 高龄食管癌、贲门癌患者的病情发展相对缓慢,对其手术治疗应持积极态度。恰当的个性化围手术期处理是手术成功的关键。
Objective To investigate the clinical features and perioperative management of elderly patients with esophageal cancer and cardiac cancer. Methods The clinical data of 57 elderly patients with esophageal and gastric cardia who were over 70 years old surgically treated were retrospectively analyzed. Results The first symptom of esophageal cancer and cardia cancer in elderly patients was not typical. The duration of preoperative course was longer (mean, 6.5 months), mostly in advanced stage and advanced stage cancer (91.2%). 35 cases (64.1%) had preoperative complications , No surgical deaths. Conclusions Elderly patients with esophageal cancer and cardia cancer develop relatively slowly and should take a positive attitude towards the surgical treatment. Proper personalized perioperative management is the key to successful operation.