高龄大肠癌105例临床分析

Clinical Analysis on the Data of 150 Senile Patients with Colorectal Carcinoma

为探讨高龄大肠癌病人的外科治疗方法，回顾性分析105例70岁以上大肠癌病人的住院治疗资料。结果显示，高龄大肠癌病人有合并病者占55％，入院前误诊率高达38％，肿瘤切除率达88％，术后并发症发生率36％，围手术期病死率5％。结果表明，手术切除是治疗高龄大肠癌的最好方法。但充分的术前准备、个性化的手术方案、合理的麻醉选择以及预防性切口减张缝合是提高手术成功率、降低手术死亡率的关键。

The clinical data of 105 patients, aged more than 70 years, with colorectal carcinoma were analised retrospectively. As results, 55.0 % of the patients had concurrent disease,misdiagnosis rate before admitted to author＇s hospital was 38.0%, tumor resection rate was 88.0%, the postoperative occurrence rate of complications was 36.0% ,and the fatality rate in the perioperative period was 6.0%. It is concluded that surgical resection is the best way in the treatment of senile patients with colorectal carcinoma,and the key aspects include sufficient preoperative preparation, individual surgical procedure, reasonal anesthesia and relaxation suture which can enhance surgical success rate, reduce fatality rate.