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近10年来由于麻醉和手术前后处理的进展,老年妇科手术的危险性降低,其中也有较大的腹部手术,包括肿瘤根治术。从何年龄起列为老年外科难以决定,本文以70岁为界限,与其他作者一致。1971~1986年作者报道90例≥70岁患者曾经受较大的腹部手术,其中70~74岁者癌症组35例,对照组6例;75~79岁者癌症组17例,对照组14例,80~84岁者癌症组9例,对照组6例;≥85岁者癌症组2例,对照组1例。63例癌症患者的手术适应证为子宫内膜癌34
In the past 10 years due to the progress of anesthesia and preoperative and postoperative management, the risk of geriatric gynecological surgery is reduced. Among them, there are larger abdominal operations, including radical mastectomy. It is difficult to determine from what age the older surgeons make decisions. This article, by the age of 70, is consistent with other authors. From 1971 to 1986, the authors reported that 90 patients ≥70 years of age had undergone major abdominal surgery, of which 70 to 74-year-old cancer group 35 cases, control group 6 cases; 75-79 years old in the cancer group 17 cases, control group 14 cases , 9 cases of cancer in 80-84 years old group and 6 cases of control group; 2 cases of cancer group> 85 years old and 1 case of control group. The surgical indications for 63 cancer patients were endometrial cancer34