摘要
目的：分析老年人结直肠癌的临床特点、外科并发症以及预后，探讨老年人结直肠癌的外科治疗。方法：对66例年龄≥65岁的老年人结直肠癌病例资料，进行临床和病理资料的回顾性分析。结果：41例行根治性手术，25例行姑息性手术治疗。术后7例出现肠梗阻、出血、感染等并发症，其中2例手术后死亡。全组随访1个月-6年，5年存活率51．3％。结论：在重视围手术期的检查和处理后手术死亡率并未增加，术后5年存活率仍可达50％以上，对老年人结直肠癌积极的临床诊治不容忽视。
Objective：To analyze the clinical characteristics,surgical complications and prognosis of colorectal cancer （CRC） in the elderly patients,and discuss the surgical treatment for them. Methods：The clinical data of 66 CRC patients over 65 years old accepting surgical treatment between January 2001 and December 2010 were analyzed ret- rospectively. Results：41 patients （62.1%） accepted radical excision while 25 patients accepted palliative resection.7 patients had postoperative complications, such as intestinal obstruction, haemorrhage, infection and so on. Among them, 2 patients died several days after operation.The overall 5 year survival rate was 51.3%. Conclusion：The opera- tive mortality is lower if much more attentions are paid during operation.Also patients with 5 year survival rate account for more than 50%.So the surgical treatment shouldn＇t be ignored in the elderly CRC patients.
出处
《安徽卫生职业技术学院学报》
2013年第6期35-36,共2页
Journal of Anhui Health Vocational & Technical College
关键词
老年性
结肠癌
直肠癌
手术
Senile
Colon cancer
Rectal cancer
Operation
