摘要
目的：探讨老年大肠癌手术方式与预后的关系。方法：对１９８３年１月～１９９２年１２月经手术治疗的３６８例老年大肠癌患者进行回顾分析。结果：总的５年生存率为３５４％，根治性切除的５年生存率为６６３５％，非根治性切除的５年生存率为５１１８％，根治性切除与非根治性切除其５年生存率差异有显著性（Ｐ＜００５）。结论：老年大肠癌行根治性切除仍可获得比较好的治疗效果。所以，对老年大肠癌病人应重视围手术期处理，争取作肿瘤根治性切除。
Objective :To study the relationship between operative methods and prognosis on
elder colorectal carcinoma. Methods :A retrospective analysis of 368 cases of elder colorectal
carcinoma from Jan,1983 to Dec,1992 in our hospital was done. Results :Overall 5 year
survival rate was 35.4%.5 year survival rate of radical excision was 66.35% and 5 year
sruvival rate of nonradical excision was 51.18%.There was a significant difference between
them (P<0.05). Conclusions :Radical excision of elder colorectal carcinoma has better effect.So
we should pay attention to perioperative treatment of elder colorectal carcinoma and try to
operate radically.
关键词
大肠癌
老年人
外科手术
olorectal carcinoma
operative treatment
elder
