老年大肠癌116例临床特点及外科治疗体会

Clinical Features of Colorectal Carcinoma and Surgical Treatment in Elderly Patients:Analysis of 116 Cases

目的:探讨老年大肠癌临床特点及外科治疗的有关问题。方法:回顾性分析2000年1月～2006年1月116例70岁以上行外科治疗的大肠癌患者临床资料。结果:老年大肠癌发病率有逐年上升趋势,以中晚期病例居多,因临床表现不典型易误诊,误诊率达62.1%。本组肠梗阻发生率11.2%,67.2%的有1种以上并存病。115例行手术治疗,根治性切除率70.4%,术后并发症发生率35.7%,无手术死亡病例。结论:手术切除是老年大肠癌的理想治疗方法,虽然并存病增加了手术风险,但术前全面了解病情,加强围手术期处理,可提高手术成功率、降低并发症发生率。

Objective：To study clinical features of colorectal eareinoma and surgical treatment in elderly patients. Methods：Retrospeetively summarizing the experienee on surgical treatment for 116 patients over 70 years of age with colorectal eareinoma from 2000 to 2006. Results z The misdiagnosis rate was 62.1% , the pereentage of intestinal obstruetion was 11.2% ,most of the patients had other diseases （67.2%）, radieal reseetion rate 70.4% , surgieal eomplieation rate was 35.7%. There was no surgieal death . Conclusion：The operation is an ideal way to treat the elderly patients with colorectal eareinoma. The eoexisting diseases inerease the risk of surgieal proeedures,but eomplete assessment of the patient＇s general health and strengthening perioperative management of the eoexisting diseases ean inerease the operation sueeess and deerease the mortality and complication.