高龄大肠癌的诊断和治疗（附49例分析）

DIAGNOSIS AND TREATMENT FOR CARCINOMA OF LARGE INTESTINE OF ELDERLY

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.