80岁以上高龄结肠直肠癌患者的外科治疗32例

Surgical treatment for over 80 years old patients with colorectal carcinoma

目的:探讨外科治疗80岁以上高龄结肠,直肠癌患者的安全性和有效性。方法:回顾分析2000年1月～2007年6月的32例80岁以上结肠,直肠癌患者的临床资料。结果:高龄结肠,直肠癌患者入院前误诊率高(52%)、伴随疾病多(62%)、肿瘤切除率不高(87%)、术后并发症多,围手术期死亡率3%。结论:手术切除是高龄结肠,直肠癌患者的有效治疗方法,但早期诊断,合理处理并发病,有效治疗和预防并发症是提高疗效的关键。

Objective：To investigate the curative effect and safety of surgical treatment for over 80 years old patients with colorectal carcinoma. Methods：The clinical data in 32 over 80 years old patients with colorectal carcinoma from January 2000 to June 2007 were analysed retrospectively. Results：The misdiagnosis rate was high （52%）,most of these patients had the other diseases （62%）.The excision rate of tumor was 87%,and the mortality of perioperative period was 3%. Conclusion：The surgical treatment is an ideal way to treat the elderly patients with colorectal carcinoma,the early diagnosis and treatment are the effective methods for the prevention and treatment of complications.It is a critical way with a beneficial effect on the elderly patients with colorectal carcinoma.