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目的：探讨高龄食管癌外科治疗的可行性。方法：对照比较１９７７－１９９７年手术治疗高龄食管癌７８例，非高龄食管癌６００例。结果：术后并发症高龄组明显高于非高龄组（Ｐ＜０．０００１），手术死亡率高龄组３．８４％，非高龄组２．３３％，Ｐ＞０．０５，无显著性差异，３、５年生存率高龄组６１．５％、２９．５％，而非高龄组为６５．０％、３０．０％，Ｐ＞０．０５，无显著性差异。结论：高龄食管癌应积极选择手术治疗。做好围术期处理至关重要。
Objective: To explore the feasibility of surgical treatment of esophageal cancer in the elderly. Methods: A total of 78 cases of advanced esophageal cancer and 600 cases of non-elderly esophageal cancer were treated by surgery from 1977 to 1997. Results: The postoperative complications in the advanced age group were significantly higher than those in the non-old age group (P<0.0001). The operative mortality was 3.84% in the older group and 2.33% in the non-old age group, P>0.05. There was no significant difference. The 3 and 5-year survival rates were 61.5% and 29.5% in the advanced age group, but 65.0% and 30.0% in the non-elderly age group, P>0.05. There was no significant difference. Conclusion: Elderly esophageal cancer should actively choose surgical treatment. Doing perioperative management is of the utmost importance.