外科手术治疗老年食管癌临床效果观察

目的:探讨老年食管癌患者手术适应证及围手术期的处理。方法:将本组32例老年食管癌患者行根治性手术30例,姑息性手术2例,切除率93.75%,颈部吻合24例,弓下吻合6例。结果:无围手术期死亡。术后并发术后吻合口狭窄1例,肺部感染3例,心律失常1例,胃肠功能紊乱1例,乳糜胸1例,经保守治疗后痊愈,术后并发症发生率21.88%。术后30天内死亡1例,1年内死亡3例,病死率12.5%。结论:老年食管癌只要选择合理的术式、积极加强围术期治疗、控制并发症发生率,外科治疗仍是首选方法。

Surgical Treatment of Elderly Esophagus Cancer Clinical Effect

Objective:To dicsuss surgical indications in elderly patients with esophagus cancer and perioperative treatment.Methods:This group Of 32 elderly patients underwent radical surgery for esophagus cancer patients,30 cases.,Palliative surgery in 2 cases,resection rate 93.75%,Cervical anastomosis in 24 cases,under the arch anastomosis in 6 cases.Results:No perioperative death.Postoperative anastomotic stricture was in 1 case,3 cases of pulmonary infection,1 case of arrhythmia,gastrointestinal disorders,1 case.Ch...