老年人与青年人结肠癌对比分析

Comparative Analysis Among the Elder and Young Colon Cancer Patients

目的：对比分析老年人与青年人结肠癌临床及病理特征，了解不同年龄组结肠癌的临床特点，并探讨如何降低结肠癌的误诊率。方法：搜集我院1998～2002年收治并有完整资料的结肠癌病例，其中老年组（≥65岁）120例，青年组（435岁）19例。对临床、病理特征及随访资料进行回顾性对比分析。结果：老年人组在误诊率、组织类型、淋巴结转移、分化程度、分期及5年生存率方面优于青年人（P〈0．05）结论：老年人与青年人结肠癌有不同的I临床及病理特征，提高对结肠癌的认识，做到早发现、早诊断、积极手术治疗是延长结肠癌患者生命，提高生活质量的有效方法。

OBJECTIVE ： To compare clinical and pathological features of colon cancer between the elderly and the young people and to explore the clinical features in different age groups and the ways to reduce misdiagnosis of colon cancer. METHODS ： The path- ological features and follow - up information on 120 cases of the elderly group （ ~〉65 years old） and 19 cases of the young groups （ ≤ 35 years old） who were treated in criterion in our hospital from January 1998 to December 2002 were analysed comparatively and retrospectively. RESULTS ： The rates of misdiagnosis, pathology, lymph node staging, the degree of differentiation and 5 - year survival rate in the elderly people were better than those in the young people （P 〈 0. 05 ）. CONCLUSION ： The elderly and the young people with colon cancer have different clinical and pathological features. In order to increase early diagnosis of colon cancer early detection/ early diagnosis and the positive surgical treatment of colon cancer patients are the way to extend the life and to improve the quality of life of the elderly patients.