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目的探讨高龄贲门癌手术径路的合理选择对术后恢复疗效的影响。方法回顾性分析114例高龄贲门癌病例的临床资料,进行统计分析,比较经胸、经腹两种手术径路的切端残留率、心脏并发症发生率、呼吸系统并发症发生率的差异。结果两组间切端残留率无明显差异(P>0.05),经胸组心脏并发症发生率、呼吸系统并发症发生率、术后平均住院时间与经腹组相比有统计学意义(P<0.05)。结论高龄贲门癌术前应充分评估分析病情,选择合适的手术径路,以利于恢复。
Objective To investigate the effect of reasonable choice of surgical approaches for elderly patients with cardia cancer on postoperative recovery. Methods A retrospective analysis of 114 cases of elderly patients with gastric cardia clinical data, statistical analysis, comparison of transthoracic and transabdominal surgical approaches the residual rate, the incidence of cardiac complications, the incidence of respiratory complications. Results There was no significant difference in the residual rate of incision between the two groups (P> 0.05). The incidence of cardiac complications, the incidence of respiratory complications, the average postoperative hospital stay in transanal group were significantly different from those in transabdominal group (P < 0.05). Conclusion The elderly patients with cardia cancer should be adequately evaluated before surgery, select the appropriate surgical approach to facilitate recovery.