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目的 :探讨中晚期老年胃癌的外科治疗的合理方案。方法 :回顾分析 1990年 1月～ 1998年 6月 ,山东省乳山市人民医院手术治疗 60岁以上胃癌 336例的临床资料。结果 :粘液腺癌 90例 ,乳头状腺癌 76例 ,粘液细胞癌 72例 ,管状腺癌 64例 ,低分化腺癌 2 6例 ,未分化癌 8例。Ⅲ期 2 98例 ,Ⅳ期 38例。手术切除 30 1例 ,切除率 89 7%。术后切口感染 4例 ,无 1例死亡。 5年生存率 4 5 2 % ( 66/ 146)。结论 :加强围手术期处理 ,选择适当的手术方式 ,是预防老年人胃癌手术后并发症的关键
Objective: To explore the reasonable scheme of surgical treatment of advanced gastric cancer. Methods: A retrospective analysis of January 1990 ~ June 1998, Shandong Rushan People ’s Hospital surgical treatment of gastric cancer over the age of 60 cases of 336 cases of clinical data. Results: There were 90 cases of mucinous adenocarcinoma, 76 cases of papillary adenocarcinoma, 72 cases of mucinous cell carcinoma, 64 cases of tubular adenocarcinoma, 26 cases of poorly differentiated adenocarcinoma and 8 cases of undifferentiated carcinoma. 98 cases of stage Ⅲ, 38 cases of stage Ⅳ. Surgical resection 30 1 cases, removal rate of 89 7%. Incision infection in 4 cases, no one died. 5-year survival rate 4 5 2% (66/146). Conclusion: To strengthen the perioperative management and select the appropriate surgical approach is the key to prevent the postoperative complications of gastric cancer in the elderly