摘要
目的 总结外科治疗老年人大肠多原发癌的经验。 方法 对 46例老年大肠多原发癌患者进行回顾性分析。 结果 46例占同期老年人大肠癌的 7 6 % (46 /6 0 8) ,其中大肠重复癌 16例 (男 12例 ,女 4例 ) ,大肠癌伴其他脏器癌 30例 (男 14例 ,女 16例 )。同时性癌 13例 ,异时性癌 2 9例 ,同时伴异时性癌 4例。异时性癌相距时间 10个月至 30年 5个月。共完成手术 83例次 ,未发生严重的并发症 ,随访率达 10 0 % ,术后 3、5、10、15、2 0年生存率分别为 71 1% (2 7/38)、6 3 6 % (2 1/33)、43 3 % (13/30 )、2 8 6 % (8/2 8)、16 0 % (4/2 5 ) ,优于同期老年大肠单发癌。 结论 要增强对老年人大肠多原发癌的防治意识 ,定期复查 ,使其早诊断、早治疗 ,以期获得更佳疗效。
Objective Summarize the experience in the surgical treatment of multiple original colon cancer in aged patients. Methods The retrospective analysis was performed in the 46 cases of multiple original colon cancer in aged patients in our hospital from August 1955 to May 2000. Results The 46 cases of multiple original colon cancer in aged patients account for 7.6% (46/608) of the total cases of colon cancer in patients in the same period. There were 26 cases of the male and 20 cases of the female. 30 cases were colon cancer with tumors from other organs. 'The different time cancer' could be found 31 years later. The follow-up rate was 100%. The survival rates for 3,5,10,15,20 years were 71.1%(27/38), 63.6%(21/33), 43.3%(13/30), 28.6%(8/28) and 16.0%(4/25) respectively. In this study, we found that the survival rate of the group was higher than that of the aged patients suffering colon cancer in the same period of time. Conclusions The number of multiple original colon cancer in aged patients has been increased in the decade. The incidence was 43.5% (20/46) in the study. With the development of society, both doctors and patients have improved their knowledge about multiple original carcinomas in aged patients. The positive rate of early diagnosis was promoted to a high level, especially in the monitor and treatment of per operation. Choosing the energetic operation, we will acquire the better therapeutic efficacy for treatment of multiple original cancer in aged patients.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2003年第1期19-21,共3页
Chinese Journal of Geriatrics
关键词
大肠肿瘤
多原发性肿瘤
外科手术
老年人
Intestinal neoplasms
Neoplasms, Multiple primary
Surgical procedures
