摘要
目的：探讨年龄因素对接受胃癌根治术的患者术后5年生存率的影响。方法：选取近年来在我院接受胃癌根治术的50例患者作为研究对象。按照患者的年龄将其分为甲组（15例）和乙组（35例）,甲组患者的年龄均小于60岁,乙组患者的年龄为60~85岁。在对两组患者进行胃癌根治术结束后,对他们进行5年的电话随访。然后,对两组患者在接受胃癌根治术后5年的生存率进行比较。结果：经随访,甲组患者在术后5年内均未死亡。在乙组患者中,有20例患者在术后5年内死亡,其术后存活的时间为0~60个月,本组患者术后5年的生存率为57.14%。乙组患者术后5年的生存率明显低于甲组患者,二者相比差异具有统计学意义（P〈0.05）。结论：由于老年胃癌患者的身体机能明显下降,其对手术的耐受性较差,故在接受胃癌根治术后很容易发生并发症,进而可导致其术后的生存率较低。因此,临床上应积极地对接受胃癌根治术的老年患者采取防治措施,降低其术后并发症的发生率,这对提高其远期的生存率具有重要的意义。
Objective： To investigate the effects of age factors on undergoing gastric resection in patients with postoperative 5 years survival rat e. Methods： in recent years were selected in our hospital underwent D2 radical operation of 50 patients as the research object. According to the patie nt＇s age the divided into group A（15 cases） and B group（35 cases）. In group A, patients aged less than 60 years old, group B patients aged 60 to 85 years old. In the two groups of patients with gastric cancer radical operation after the end of the 5 years of follow-up phone calls. Then, the two groups of patients undergoing gastric resection after 5 years of survival rate were compared. Results： the follow-up, the division in patients with postoperative 5 years were not dead In death. In B group, 20 cases of patients with postoperative 5 years died in the postoperative survival time of 0 - 60 months, this group of patients with postoperativ e 5 years survival rate was 57.14%. In group B patients after 5 years of survival rate was significantly lower than that of patients with first and second difference was statis tically significant（P〈 0.05）. Conclusion： the gastric cancer in elderly patients with body function is significantly decreased, the operation tolerance is poor, so the underg oing gastric resection is prone to complications, which can lead to the postoperative survival rate is low. Therefore, clinical should actively to accept radical surgery for eld erly patients to take preventive measures. The low incidence of postoperative complications, which has important significance in improving the long-term survival rate.
关键词
胃癌根治术
术后5年内
生存率
影响因素
radical operation of gastric cancer
survival rate
influencing factors
