摘要
本文报告70岁以上高龄大肠癌49例,占同期收治大肠癌的9.2%。临床表现以便血为主,占73.5%;以急性肠梗阻就诊者占22.5%。直肠癌占79.5%,81.6%的病例合并一种以上其它系统疾病,本组误诊31例,误诊率63.3%。进行根治性切除术25例,其它姑息手术24例。随访42例,死于术后并发病者7例(占16.7%),生存1~3年者23例(54.8%),生存5年者3例(7.1%)。着重讨论了高龄大肠癌的临床持点、早期诊断和治疗原则。
In the peper, Iarge intestine cancer was reported in 49 case of patients aged above70 years, occupying 9.2%of all age patients admitted for the cancer of large intestine. Clinical mani-festations were hematochezia(73.5%),and signs and symptoms of acute intestinal obstruction(22.5%). Rectal cancer was 79.5%. 81.6%cases had at least one other system disease companiedwith the cancer.31 cases (63.3%)were misdiagnosis.25 cases were managed by radical operationand 24 by palliative operation. 42 cases were followed up,and out of them 7( 16.7%)died from post-operative complications,23 (54.8%)lived for 1~3years,and 3(7.1%)for 5 years, Clinical fea-tures, early diagnosis and principles for treatment were stressedly discussed.
出处
《九江医学》
1994年第4期235-237,共3页
Jiujiang Medical Journal
关键词
大肠肿瘤
癌
诊断
治疗
老年人
病例分析
cancer of large intestine/ diagnosis
cancer of large intestine/treatment
elderly