摘要
目的 :探讨老年大肠癌患者的特点。方法 :分析 12 0例老年大肠癌的结肠镜检查结果、临床表现及手术治疗情况。结果 :(1)老年大肠癌患者以黏液血便为主 ,占 85 %。 (2 )左半结肠多见 ,以直肠癌检出率最高 ;(3)直肠癌肛诊阳性率为 86 %,结肠癌诊断大肠癌的准确率为 99%。 (4 ) Borrm ann 、 、 型大肠癌手术根治率分别为 83%,82 %及 5 3%。结论 :老年患者大肠癌发生率较高 ,以左半结肠多见 ,病程长 ,分化好。结肠镜检查可判断大肠癌的部位、范围和程度 ,但只能为选择手术方式提供参考。
Objective: To investigate the characteristics of patients with colonrectal cancer in the aged(>=60 years). Methods: The materials of 120 cases with colorectal cancer were collected; the clinical data, details of colonscopy and operative records. Results: Colorectal cancer appeared most frequently with muco-bloody stools as chief camplaint (85%) in the aged. Rectal cancer accounted for the majority with increasing incidence of right colon cancer; About 86% of rectal cancer could be detected by digital anal examination while 99% of colorectal cancer can be diagnosed by colonscopy. Radical resectability for Brrmann, Ⅰ,Ⅱ or Ⅲtype was maintained at 83%, 82% and 53% respectively. Conclusion: The aged were affected most often by left colon concer with high differentiation and slow progression. With colonscopy the probable location, extention of the growth can be judged, but serveasonly implication for mode of operation.
出处
《大肠肛门病外科杂志》
2002年第1期40-41,共2页
Journal of Coloproctological Surgery
