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目的:探讨年龄在80岁左右的老年胃癌患者行胃癌根治术后并发症的发生情况。方法:收集我院2004年1月-2008年12月行胃癌根治术的165例老年胃癌患者的临床资料,并分为2组:A组年龄70-80岁(n=132例);B组年龄≥80岁(n=33例)。对两组患者的术前合并症、手术结果及手术后并发症进行了回顾性分析研究。结果:两组患者在术前合并症的发生率上无明显差异(p>0.05)。B组患者术前常规检查中淋巴细胞计数、血红蛋白及白蛋白的量较A组患者低(p<0.05)。年龄≥80岁胃癌患者的术前肺功能、血气分析结果较小于80岁的患者差(p<0.05)。B组患者术后出现呼吸功能不全及吻合口漏的发病率明显高于A组患者(p<0.05),且超老年患者胃肠功能恢复所需时间延长(p<0.05)。结论:年龄大于80以上的胃癌患者术后容易出现呼吸功能障碍,术前需要充分评估患者的呼吸功能、营养状况等。
Objective: To investigate the incidence of complications after radical operation of gastric cancer in elderly patients aged 80 years and older. Methods: The clinical data of 165 elderly patients with gastric cancer who underwent radical gastrectomy from January 2004 to December 2008 in our hospital were collected and divided into two groups: group A, aged 70-80 years (n = 132), group B Age ≥80 years (n = 33). The two groups of patients with preoperative complications, surgical results and postoperative complications were analyzed retrospectively. Results: There was no significant difference in the incidence of preoperative complications between the two groups (p> 0.05). Patients in group B had lower preoperative lymphocyte counts, lower hemoglobin and albumin levels than those in group A (p <0.05). Preoperative lung function was higher in patients with gastric cancer than 80 years of age, with poor blood gas analysis in patients younger than 80 years (p <0.05). The incidence of postoperative respiratory insufficiency and anastomotic leakage in group B was significantly higher than that in group A (p <0.05), and the time required for recovery of gastrointestinal function in patients with hyperachment was prolonged (p <0.05). Conclusion: Patients with gastric cancer more than 80 years old are prone to respiratory dysfunction after operation. Patients’ respiratory function and nutritional status should be fully evaluated before operation.