高龄大肠癌外科治疗85例分析

Analysis of surgical treatment for elderly patients with colorectal carcinoma:Report of 85 cases

目的 探讨高龄大肠癌患者的外科治疗方法。方法 回顾性分析 1999年 1月至 2 0 0 3年 12月间收治的 6 5岁以上大肠癌患者 85例外科治疗资料。结果 高龄大肠癌患者入院前误诊率高 (45 8% ) ,并存病多 (6 9 4 % ) ,肿瘤切除率为 92 9% ,围手术期死亡率为 6 3% ,术后并发症发生率为 2 9%。结论 手术切除是高龄大肠癌患者最佳治疗方法。但早期诊断、早期治疗 ,合理处理并存病 ,适当的麻醉和手术方式 ,有效的预防和治疗并发症是提高疗效的关键。

Objective To study the surgical treatment of elderly patients with colorectal carcinoma.Methods The data of surgical treatment for colorectal carcinoma in 85 patients over 65 years from January 1999 to December 2003 were analysed retrospectively.Results Misdiagnosis rate was high(45.8%),most of patients complicated with other disease(69.4%),tumor resection rate was 92.9%,operation mortality 6.3%,post operation complication rate was 29%.Conclusion The operation is an ideal way to treat elderly patients with colorectal carcinoma:Early diagnosis and treatment,correct management for preexisting disease,appropriate choice of anesthesia and operation procedure,and an effective method for prevention and treatment of complications are keys of improving prognosis for the elderly patients with colorectal carcinoma.