高龄直肠癌外科诊治特点分析

Surgical treatment of the elderly patients with rectal cancer

目的探讨75岁以上老年性直肠癌的诊治特点。方法采用回顾性分析诊治的128例75岁以上老年性直肠癌,总结其临床特点。结果此类患者的临床特点是:入院前病史长,59.4%患者病史超过6个月;术前误诊率高(47.7%);合并症多(95.3%);手术根治率高(86%);低位直肠癌保肛率达61%,且多数(85.4%)患者对术后控便情况表示满意。结论高龄直肠癌患者经围手术期积极治疗,手术疗效明显;只要术前控便功能良好,年龄不应成为施行保肛手术的禁忌证。

Objective To study the surgical treatment of patients than aged over 75 years with rectal cancer. Methods Retrospective analysis of the clinical data of surgical treatment in 128 rectal cancer patients over 75 years of age.Results In this series,59.4% of patients had the preoperative ease history longer than six months;the preoperative misdiagnosis rate was high （47.7%） ;95.3% of the patients had accompanying other diseases. Tumor radical resection rate was 86% ;the anus- preserving operation rate was 61% ,and the bowel control satisfaction rate was 85.4%. Cnclusions The elderly patients aged over 75 yeats with rectal cancer often have other accompanying diseases, but proper pefioperative management may enhance the operative efficacy. The elderly should not be denied a restorative surgical treatment unless there is overwbelming evidence that incontinence will be inevitable.