老年人结肠肿瘤临床诊断与治疗观察

Clinical diagnosis and treatment of colon tumor in the elderly

目的:探讨老年人结肠肿瘤的临床诊断和治疗。方法:收治老年结肠肿瘤患者76例,回顾性分析其临床资料。结果:(1)7例(9.21%)良性肿瘤,69例(90.79%)恶性肿瘤。(2)7例良性肿瘤均经局灶性肿瘤切除,肿瘤切除完整;恶性肿瘤中,58例(84.06%)予以根治性切除,11例(15.94%)采取姑息性手术。(3)良性肿瘤患者3年后全部生存,生存率100%,恶性肿瘤生存47例,生存率68.12%,差异有统计学意义(P<0.05)。结论:老年人结肠肿瘤的早期诊断方法主要为CEA筛查和结肠镜检查,外科手术是临床治疗的首选方法。

Objective:To explore the clinical diagnosis and treatment of colon tumor in the elderly.Methods:76 cases of elderly patients with colon tumor were selected.The clinical data were retrospectively analyzed.Results:(1)7 cases(9.21%) were benign tumors,and 69 cases(90.79%) were malignant tumors.(2)7 cases of benign tumors were treated with focal tumor resection,and tumor resection was complete.In malignant tumors,58 cases(84.06%) were treated with radical resection,and 11 patients(15.94%)were treated with palliative surgery.(3)3 years later,all patients with benign tumors survived,the survival rate was 100%,47 cases with malignant tumor survived;the survival rate was 68.12%;the difference was statistically significant(P<0.05).Conclusion:The methods of early diagnosis of colon tumor in elderly patients were mainly CEA screening and colonoscopy.Surgical treatment was the first choice for clinical treatment.