老年人结直肠癌的外科治疗(附62例临床诊治分析)

Surgical Treatment of the Elderly Patients with Colorectal Carcinoma:A Report of 62 Cases

目的 探讨老年结直肠病人的外科治疗。方法 回顾性分析 1973 -1996年间 62例 60岁以上结直肠癌的外科治疗资料。结果 老年结直肠癌病人入院前误诊率高 (5 6 5 % ) ,并存病多 (5 9 7% )。肿瘤切除率为 80 75 % ,术后并发症发生率为 3 8 6% ,围手术期病死率为 6 5 %。结论 手术切除是老年结直肠癌病人最好治疗方法 ,但早期诊断、早期治疗、合理处理并存病、充分的肠道准备、适当的麻醉和手术方法 。

Objective To study the surgical treatment of elderly patients with colorectal carcinoma. Methods Retrospective analysis on the experience of surgical treatment for colorectal carcinoma in 62 patients of over 60 years old from 1973～1996. Results Misdiagnostic rate was high (56.5%), most of the patients had other diseases (59.7%), postoperative complication rate was 38.6%,tumor resection rate 80.7% and operation mortality 6.5%.Conclusions Operation is an ideal way to treat the elderly patients with colorectal carcinoma. But faltors such as early diagnosis and treatment, proper management of preexisting diseases, full bowel preparation, appropriate choice of anesthesia and operation procedure are an effective method for the prevention and treatment of complication are critical to enhance the curative effect.