结肠镜诊断547例老年大肠癌临床分析  

CLINICAL ANALYSIS OF 547 CASES COLON CANCER IN ELDERLY

作　　者：朱秀英[1] 项平[1] 岑戎[1] 徐富星[1] 严跃平[1] 

机构地区：[1]华东医院,上海市200040

出　　处：《老年医学与保健》1999年第2期70-72,共3页Geriatrics & Health Care

摘　　要：目的 探讨老年人大肠癌的发病特点、临床意义.方法 回顾性复习547例结肠镜发现,经病理证实的结肠癌病人,分析其临床表现.结果 老年人大肠癌发生率高于非老年人,大肠癌发病中位年龄上升,临床症状以贫血、隐血老年人为多见.右半结肠癌发病率上升.同时癌预后差,早期癌预后好.五年生存率老年人高于非老年人.结论结肠镜检查是诊断老年人大肠癌最安全有效方法.Objective To review the characteristics of colon cancer of the elderly patients and their clinical significance. Methods The colonoscopic findings of 547 elderly patients with pathologically confirmed colon cancer were retrospectively reviewed and their clinical manifestations were analysed. Results The incidence of colon can-cer of elderly was higher than that of patients under 60 years of age. The mediam age of elderly patients was rising. Anemia and occult blood in stool were common among elderly patients. The incidence of right hemicolon cancer was rising. The prognosis of patient with synchronous cancers was poor. The prognosis of early cancer was good. The 5 year survival rate of elderly patients was higher than that under 60 years. Conclusions Colonoscopy was the safest and most effective diagnostic method for colon cancer of elderly patients.

关 键 词：老年人 人大肠癌 非老年 结肠镜诊断 临床分析 预后 回顾性 

分 类 号：R735.34[医药卫生—肿瘤] R574.62[医药卫生—临床医学]