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目的总结70岁以上老年胃癌的临床特点和外科诊治经验。方法对2003年8月至2010年8月收治的75例70岁以上老年胃癌患者的临床资料及手术情况等进行回顾性分析。结果 70岁以上老年胃癌患者占同期胃癌的19.6%。手术切除率61.3%,其中根治性切除率40.0%,姑息性切除率21.3%。手术并发症发生率34.7%,围手术期病死率5.3%。术后1、3、5年累计生存率分别为64.7%、29.6%、5.1%。结论 70岁以上老年胃癌患者临床特征不显著,发现较晚,易误诊误治,根治性切除率较低,围手术期并发症及死亡率较高,早期发现和围手术期处理至关重要。
Objective To summarize the clinical features and surgical diagnosis and treatment of elderly patients over 70 years of age. Methods A retrospective analysis was performed on the clinical data and operation of 75 patients aged over 70 years old with gastric cancer admitted from August 2003 to August 2010. Results The elderly patients over 70 years old with gastric cancer accounted for 19.6% of the same period. The surgical resection rate was 61.3%, of which the radical resection rate was 40.0% and the palliative resection rate was 21.3%. The incidence of surgical complications was 34.7% and perioperative mortality was 5.3%. The cumulative survival rates at 1, 3 and 5 years were 64.7%, 29.6% and 5.1% respectively. Conclusion The clinical features of elderly patients with gastric cancer over the age of 70 are not significant, found late, easy misdiagnosis and mistreatment, radical resection rate is low, perioperative complications and mortality is high, early detection and perioperative management is essential.