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目的探讨高龄胃癌患者的临床特点及围手术期处理。方法回顾性分析手术治疗的187例70岁以上高龄胃癌患者的临床资料。结果高龄胃癌患者具有男性多发、临床表现多无特异性、病变部位及范围不同、中高分化腺癌多见、术前并存疾病和术后并发症多的特点。全组胃癌手术切除率为88.8%(166/187),其中根治性切除率为61.5%(115/187),术后并发症的发生率为19.8%(37/187),病死率2.1%(4/187),1、3、5年生存率分别为67.3%、51.9%、22.8%。结论加强高龄胃癌患者的围手术期处理,减少术后并发症,对提高患者生存率和生活质量有重要意义。
Objective To investigate the clinical features and perioperative management of advanced gastric cancer patients. Methods A retrospective analysis of surgical treatment of 187 cases of patients over the age of 70 with advanced gastric cancer clinical data. Results The patients with advanced gastric cancer had multiple men with multiple clinical manifestations, different locations and ranges of lesions, multiple well-differentiated adenocarcinomas, preoperative coexisting diseases and postoperative complications. The total resection rate of gastric cancer was 88.8% (166/187), of which the radical resection rate was 61.5% (115/187), the incidence of postoperative complications was 19.8% (37/187) and the case fatality rate was 2.1% 4/187). The 1, 3, 5 year survival rates were 67.3%, 51.9% and 22.8% respectively. Conclusion To improve the perioperative management of patients with advanced gastric cancer and reduce postoperative complications, to improve patient survival and quality of life of great significance.