96例高龄食管癌、贲门癌外科治疗及预后分析

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、同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vS76．7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。

The surgical treatment and prognosis analysis of esophageal cancer and cardia cancer for 96 elderly patients

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.