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目的评价老年妇女乳腺癌的手术效果，并重视其外科问题。方法分析并复查２０３例临床和随访资料。结果本组２０３例女性患者均进行手术。以改良根治术为主共９６例，占４７％；根治术５２例；扩大根治术５例；全乳切除术３９例；姑息性手术６例；电化疗术５例。本组术后３年、５年生存率分别为７７．２％和６８．２％。合并症７１％，术后并发症发生率１６．３％，术后死亡率１．５％。结论（１）老年乳腺癌经手术可改善生活质量，并有较高生存率，高龄并非是手术禁忌证。（２）内外科配合，重视并处理好合并症和术后并发症。（３）对每个患者应采取合适的术式和麻醉方法，术后精心护理。
Objective To evaluate the surgical effects of breast cancer in elderly women and to pay attention to their surgical problems. Methods 203 cases of clinical and follow-up data were analyzed and reviewed. The results of this group of 203 female patients were operated on. There were 96 cases with modified radical mastectomy, accounting for 47%; radical mastectomy was performed in 52 cases; radical mastectomy was performed in 5 cases; total mastectomy in 39 cases; palliative operation in 6 cases; and electrochemotherapy in 5 cases. The 3-year and 5-year survival rates in this group were 77.2% and 68.2%, respectively. Complications were 71%, postoperative complications were 16.3%, and postoperative mortality was 1.5%. Conclusion (1) The operation of elderly patients with breast cancer can improve their quality of life and have a higher survival rate. Old age is not a surgical contraindication. (2) Internal and surgical cooperation, attention to and deal with complications and postoperative complications. (3) For each patient, appropriate surgical and anesthetic methods should be taken and care should be taken after surgery.