96例高龄食管癌、贲门癌外科治疗及预后分析(1)
 |
| 第1页 |
参见附件。
[摘要] 目的 探讨高龄食管癌、贲门癌外科治疗及预后分析。 方法 收集本院2006年6月～2011年5月96例高龄食管癌贲门癌患者，对其病变特征、围术期处理及术式的选择进行回顾性总结和分析，且进行电话随访。 结果 本组病例中男性患者平均发病年龄明显低于女性患者(73.3岁 VS 76.7岁，P<0.05)；上、中、下段各个发病部位均是男性居多；临床分期以Ⅱ、Ⅲ期患者居多；癌症患病种类与性别无关(P>0.05)；术后并发症发生率为18.75%；5年生存率28.13%。 结论 对高龄食管癌和贲门癌患者，如全身情况允许，应积极考虑手术治疗，且应严格控制适应证及适宜的术式，加强围术期的处理。
[关键词] 高龄；食管癌；贲门癌
[中图分类号] R735 [文献标识码] B [文章编号] 1673-9701(2012)01-038-03
The surgical treatment and prognosis analysis of esophageal cancer and cardia cancer for 96 elderly patients
YE Xian ZHOU Yinbei TANG Jun WANG Chenbin
The Department of Thoracic Surgery in the Yongzhou Central Hospital in Hunan Province, Yongzhou 425006, China
[Abstract] Objective To learn the surgical treatment and prognosis analysis of esophageal cancer and cardia cancer for elder patients. Methods All of 96 cases of elderly esophageal and cardiac cancer patients were collected in our hospital from Jun 2006 to May 2011. The pathological characteristics, perioperative management and surgical options were retrospectively analyzed and reviewed. The follow-up survey was completed by telephone. Results In this study, average age of male patients was obviously lower than the female patient (73.3 VS 76.7-year-old, P<0.05). To the upper, middle and lower parts of each disease, the majority is male patients, and the majority is in Phase II and Phase III. Types of cancer illness are unrelated to sex (P>0.05). The postoperative complication rate was 18.75%. 5-year survival rate was 28.13%. Conclusion The patients with esophageal and cardiac should actively be considered the surgery treatment if systemic conditions permit, and doctors should be strictly control of the appropriate surgical indications and to strengthen the perioperative process.
[Key words] Elder patient; Esophageal cancer; Cardia cancer
食管癌贲门癌好发于发展中国家地区，发病一般男性多于女性，世界各地基本相同，高发区男女比例相近，低发区差异较大。食管癌贲门癌的治疗方面，国际尚无统一意见，日本学者主张彻底的手术治疗，西方学者则倾向于以放疗为主的综合治疗[1-2]。我们国家，食管癌治疗方面的意见与日本相近，外科治疗仍然是食管贲门癌的主要治疗手段。
1 资料与方法
1.1 一般资料
96例患者，男56 例， 女40例。年龄68～82 岁，平均(75±0.6)岁。占同期食管癌贲门癌手术总数的4.38%(96/2191)。其中，上段食管癌12例，中段食管癌32例，下段食管癌16例，贲门癌36例，所有病例均经手术或胃镜活检病理证实。手术切除食管癌贲门癌96例中 ......
您现在查看是摘要介绍页，详见PDF附件(2681kb)。