高龄结直肠癌病人97例外科治疗分析

Surgical Treatment of Colorectal Carcinoma in 97 Senile Patients

探讨高龄大肠癌的围手术期处理．回顾分析1992～2004年收治的97例70岁以上高龄大肠癌患者的临床资料。高龄大肠癌患者病程长,就诊晚（平均11．2个月）．术前并存病和合并症多（84．5％），术后并发症发生率高（62．0％）。结果显示，对高龄大肠癌重视围手术期处理．选择适当的手术方式，是减少并发症、提高根治切除的有效方法。

The objective of this study was to sum up the experience of peri-operative management of senile patients with colorectal carcinoma. The clinical data （1992-2004）of the 97 cases were retrospectively analized. It was found that the disease course of these patients was longer,the duration from onset to medical attendance was usually delayed（averaging 11.2 monthes）, preoperative co-existing ＆ complicated diseases were more in number （84. 5%）,and the occurrence rate of postoperative complication was higher （62.0%）. It is suggested that emphasized the peri-operative management, proper surgical procedure is the key point for reducing complications and enhancing radical surgery of colorectal carcinoma in senile patients.