70岁以上患者妇科恶性肿瘤的手术治疗

目的：观察70岁以上的老年妇科恶性肿瘤患者者耐受手术治疗的情况,方法：收集我院1983年9月至1999年6月期间,70岁以上接受盆腔局限性和广泛性手术治疗的全部生殖器恶性肿瘤患者,共57例,分析不同年龄和手术方式对预后的影响。结果：57例患者的平均年龄73．5岁,其中34例接受了广泛性手术治疗,23例接受了局限手术治疗。41例（71．9％）术前合并各种内科疾病,术后18例（31．6％）出现一般并发症,6例（10．5％）发生严重并发症,比较70－75岁组和＞75岁组之间,手术方式,平均住院日,以及术前和术后并发症等因素无明显差别。与局限性手术组相比较,6例严重并发症患者均发生在广泛性手术组,后者术后住院日较前者延长1倍多,结论：经过周密的术前准和术后观察处理,70岁以上的妇科恶性肿瘤患者能够耐受广泛性手术治疗。

Surgical procedure of gynecologic malignances in patients over 70 years

Objective To assess the viability of performing surgical procedure on gynecologic malignances patients over 70 years old Methods A retrospective study of all patients 70 years of age and older treated by surgical procedure for gynecologic malignances was performed between September 1, 1983, and June 30, 1999 Results Fifty seven patients were older than 70 years of age at the time of the diagnosis Mean age of the patients was 73 5 years In thirty four patients a extensive surgical procedure was carried out, while in twenty three patients a conservative surgery was done Seventy one percent of patients had one or more preexisting medical illnesses Minor surgical morbidity occurred in 31 6% of the patients, while major surgical morbidity occurred in 10 5% of the patients There were no differences in the type of surgical procedure, mean hospital stay, preexisting medical illness and postoperative complication between patients 70 to 75 and over age 75 The total major postoperative complications occurred in extensive surgical procedure group and postoperative mean stay was also significantly length Conclusions The extensive surgical procedure is a safe treatment for elderly patients with gynecologic malignances Careful preoperative assessment, monitoring, and meticulous postoperative care are vital to the success