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目的:分析老年壶腹周围恶性肿瘤的手术并发症及其相关因素。方法:回顾分析2002年1月～2004年6月间所施行的胰十二指肠切除患者96例,按年龄分成老年组(≥65岁)和中青年组(<65岁),分析两组间术中、术后并发症及处理方式。结果:老年组37例,中青年组59例。老年组总并发症发生率为40.54%,中青年组38.98%,组间比无显著性差异,两组间死亡率无差异。心肺疾患老年组的发生率为18.91%,而中青年组均为1.69%,差异有显著性(P值均<0.01)。结论:绝大多数老年壶腹周围恶性肿瘤患者经术中、术后密切监护,及时处理均能胜任胰十二指肠切除术,故年龄并非手术的绝对禁忌。围手术期应注意心肺功能监测。
Objective: To analyze the surgical complications and related factors of malignant tumors around the ampulla of the elderly. Methods: A total of 96 patients with pancreatoduodenectomy performed between January 2002 and June 2004 were retrospectively analyzed. The patients were divided into the elderly group (≥65 years old) and the middle-aged and young patients (aged 65 years) according to their age. Two groups Interoperative, postoperative complications and treatment. Results: The elderly group of 37 cases, 59 cases of young group. The overall complication rate was 40.54% in the elderly group and 38.98% in the middle-aged and young group. There was no significant difference between the two groups. There was no difference in mortality between the two groups. The incidence of cardiopulmonary diseases was 18.91% in the elderly group, while 1.69% in the middle-aged and young group, the difference was significant (P <0.01). Conclusion: The vast majority of elderly patients with periampullary malignant tumor by surgery, postoperative close monitoring, timely treatment can perform pancreatoduodenectomy, so the age is not an absolute contraindication to surgery. Perioperative cardiopulmonary function monitoring should be noted.