老年人结直肠癌的外科治疗

Surgical treatment of the elderly patients with colorectal carcinoma

目的 探讨高龄结直肠癌患者的外科治疗方法。方法 回顾性分析 8年间 10 9例 60岁以上结直肠癌患者行外科治疗的临床资料。结果 高龄结直肠癌患者入院前误诊率高 ( 3 8.5 % ) ,并存病多 ( 89.0 % ) ,肿瘤切除率为 89.6% ,围手术期病死率为 8.2 %。结论 手术切除是高龄结直肠癌患者最佳治疗方法 ,早期诊断 ,早期治疗 ,合理处理并存病 ,选择适当的麻醉和手术方式 ,有效的预防和治疗并发症是提高疗效的关键。

Objective To study the surgical treatment of elderly patients with colorectal carcinoma(CRC). Methods Retrospective analysis of the clinical data of surgical treatment in 109 colorectal carcinoma patients over 60 years of age admitted to the 252 hospital of PLA in recent 8 year . Results In this series,the preoperative misdiagnosis rate was high(38.5%), 89.0% of the patients complicated with other diseases.Tumor resection rate was 89.6%,operation mortality was 8.2%. Cnclusions Surgical resection is an ideal way in treating the elderly patients with colorectal carcinoma . Early diagnosis and treatment, correct management the preexisting diseases, appropriate choice of anesthesia and operation procedure ,effective prevention and treatment of complication are critical ways to get beneficial effects in the treatment of elderly patients with colorectal carcinoma.