目的　观察 70岁以上的老年妇科恶性肿瘤患者耐受手术治疗的情况。方法收集我院 1983年 9月至 1999年 6月期间 ,70岁以上接受盆腔局限性和广泛性手术治疗的全部生殖器恶性肿瘤患者 ,共 5 7例。分析不同年龄和手术方式对预后的影响。结果　 5 7例患者的平均年龄73 5岁。其中 34例接受了广泛性手术治疗 ,2 3例接受了局限性手术治疗。 41例 (71 9% )术前合并各种内科疾病 ;术后 18例 (31 6 % )出现一般并发症 ,6例 (10 5 % )发生严重并发症。比较 70～ 75岁组和>75岁组之间 ,手术方式、平均住院日、以及术前和术后并发症等因素无明显差别。与局限性手术组相比较 ,6例严重并发症患者均发生在广泛性手术组 ,后者术后住院日较前者延长 1倍多。结论　经过周密的术前准备和术后观察处理 ,70岁以上的妇科恶性肿瘤患者能够耐受广泛性手术治疗 Objective To observe the elderly patients with gynecological malignancy over the age of 70 patients with surgical treatment. Methods A total of 57 patients with genital malignancies who underwent pelvic limitations and extensive surgeries over the age of seventy from September 1983 to June 1999 were collected. Analysis of different age and surgical methods on prognosis. Results The average age of 57 patients was 73 5 years old. Of these, 34 received extensive surgical treatment and 23 received limited surgical treatment. There were 41 cases (71.9%) with various medical diseases preoperatively; 18 cases (31.6%) had general complications after operation, and 6 cases (105%) had serious complications. There was no significant difference between the 70 ~ 75 years old group and the> 75 years old group in terms of operation method, average length of stay, preoperative and postoperative complications. Compared with the localized surgery group, 6 patients with severe complications occurred in the extensive surgery group, while the latter were more than double the postoperative hospitalization days. Conclusion After careful preoperative preparation and postoperative observation and treatment, patients with gynecologic malignancies over the age of 70 are able to tolerate extensive surgical treatment