高龄直肠癌69例临床特点及治疗分析

The Clinical Analysis of 69 Cases Senile Colorectal Carcinoma

目的 对 6 9例高龄直肠癌患者临床特点和治疗效果进行分析评估。方法 术前有伴发病的占 75 3% (52 6 9) ;所有患者均进行手术治疗 ,其中Miles39例 ,Dixon2 0例 ,姑息性切除术 10例 ;6 3例在手术前后给予放疗或 和化疗。结果 术后并发症发生率为 4 0 8% ;随访 54例 ,一年生存率为 6 0 9% ,二年生存率为 55 1% ,五年生存率为 4 0 6 %。结论 五年生存率低的原因并非癌肿复发或转移率高而是对伴发病治疗不正确、及时。作者认为应尽可能重视术前伴发病的治疗 ,以提高手术成功率及降低围手术期死亡率 ;如患者情况允许 ,应施行根治性手术 ;对于不能施行根治性手术的晚期病例行姑息性手术 ,术后予以放疗或 和化疗。

Objective To evaluate the clinical characteristic and treatment effect of 69 cases senile colorectal carcinoma.Methods All patients received operation, 39 cases received miles operation,and 20 cases received Dixon method,and 10 cases receive appeasement resection,63 cases received radiotherapy and/or chemotherapy.Results The occurrence rate of complication after operation is 40.8%;and 54 cases obtained follow up.The one year survival rate is 60.9%,two year survival rate is 55.1%,and five year survival rate is 40.6%.Conclusion The reason that the five year survival rate is low not because the recurrence of cancer or high metastasis rate but the incorrect and untimely treatment .In order to improve success rate of operation and reduce mortality of arrounding operation period,we should emphasize the preoperation treatment of complication.The patients with good condition should be given radical oper ation.The polients who couldnt receive radical operodion should be giren appease ment operation and radiotherapy and/or chemotherapy ofter operation.