高龄结直肠癌患者的临床外科诊治研究  

Surgical treatment of elderly patients with colorectal carcinoma:a report of 64 cases

作　　者：姚坦[1] 吴斌[1] 

机构地区：[1]六安市人民医院普外科,安徽237005

出　　处：《安徽卫生职业技术学院学报》2004年第5期20-21,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨高龄结直肠癌病人的外科治疗方法。方法:回顾性分析1990～2002年收治的64例65岁以上的结直肠癌病人的外科治疗资料。结果:高龄结直肠癌病人的误诊率高(56.25%),伴随疾病多(57.8%),肿瘤切除率约80%,术后并发症发生率35.9%,围手术期病死率6%。结论:手术切除是高龄结直肠病人最好的治疗方法,早期诊断、早期治疗,重视伴随疾病的处理,有效防治并发症,充分的肠道准备,恰当的麻醉和手术方式是治疗高龄结直肠癌的关键。Objective To Study the surgical treatment of elderly patients with colorectal carcinoma. Methods To retrospectively analyse the experience of surgical treatment with colorectal carcinoma in 64 patients over 65 years of age from 1990～2002. Results Misdiagnosis rate was high (56.25%),most of the patients had other diseases (57.8%),tumor resection rate 80%,post operation complication rate was 35.9%,operation mortality 6%. Conclusion Operation is an ideal way to treat the elderly patients with colorectal carcinoma. Early diagnosis and treatment,correct management preexisting diseases,an effective method for the prevention and treatment of complication,fully bowel preparation,appropriate choice of anesthesia and operation procedure are critical factotors to cure the elderly patients with colorectal carcinoma.

关 键 词：高龄 结直肠癌 

分 类 号：R735.3[医药卫生—肿瘤]