高龄结、直肠癌135例临床分析

Clincal analysis of 135 elderly patients wish colorectal carcinoma

目的分析和总结高龄结、直肠癌的临床特点。方法高龄结、直肠癌患者入院后,对可能增加手术风险的因素,尽可能在术前予以纠正。必要时,在术后继续处理。术中、术后严密观察患者全身情况,发现问题及时处理。结果 135例高龄结、直肠癌患者,85例(62.96%)患有高血压、心脏病、糖尿病等常见病。手术前有共存病的,术后并发证发生率为26.8%,围手术期死亡率为7%;而是手术前无共存病者,术后并发症的发生率为10%,两者差异有非常显著性意义(P<0.01)。结论虽然并存病增加了手术风险,但术前全面了解病情,加强并存病的围手术期处理可大大提高手术成攻率,降低手术死亡率和并发症发生率。

Objective To analyze and summarize the clinical characters in elderly patients with colorectal carcinoma. Methods After the patients were admitted to hospital,the abnormalities that might increase operative risk or adversely influence recovery must be treated peror to operation,and be treated postoperatively if necessary. Patients were closely monitored throughout the operative and postoperative phase of the first a few days so that any abnormalities could be treated immediately. Results Among the 135 eldely patients with colorectal carcinoma,85 cases（ 62. 96% ） suffered from common diseases in the elderly,sush as hypertension,cardiac disease,diabetes et al. The rate of postoperative complications in the elderly who had coexisent disease was 26. 8% ,whereas the rate of postoperative complications in the elderly who had no coexistent diseases was 10% . There was a siginificant difference between the groups（ P〈0. 01） . Conclusion The coexisting diseases increase the risk of surgical procedures,but complete assessment of the patient＇s general health and intensive perioperaive management of the coexisting diseases can increase the success rate of operation and decrease the operative mortality and incidence of complication.