老年大肠癌与青年大肠癌217例临床分析  

Analysis of 217 Cases of Large Intestine Cancer in the Young and the Aged

作　　者：许兰薇[1] 秦书铭[1] 张颖[1] 王厚敏[2] 赵春华[2] 

机构地区：[1]天津医科大学第二医院普外科,300211 [2]天津医科大学总医院普外科

出　　处：《天津医药》1996年第11期655-657,共3页Tianjin Medical Journal

摘　　要：对1987～1995年我两院普外科收治的年龄>65岁(163例)与年龄<35岁(54例)大肠癌患者217例分析讨论。认为1.老年大肠癌肠梗阻较多,急症手术率高。2.老年组并存病及术后并发症均多于青年组。3.老年大肠癌分化较青年好,其5年生存率明显高于青年组。4.老年组从发病到首诊时间较青年组长,而青年组从首诊到确诊时间长于老年组。因此,提高医患的防癌意识,通过便潜血、直肠指诊、内窥镜及X光等多种检查,早期确诊大肠癌。治疗上强调根治切除的原则,并辅以化疗、放疗,以提高患者的生存率。217 cases of large intestine cancer were analysed,of which 163 patients were over the age of 65 and 54 patients were below the age of 35. All the patients were hospitalized in wards of surgery. It was concluded that 1. there were more ileus and emergency operations in the aged than in the young, 2. there were more pre- and post-operative complications in the aged group,3. the cancer in the aged as of lower differentiation, with higher 5-year survival rate, 4. the duration from first medical care to con firmed diagnosis was longer in the young. Therefore, the cancer-prevention sense of the physicians and the public should be strengthened using stool occult blood test,digital examination of rectum roentgeno-graphy to establish earlier diagnosis. To improve the 5-year survival rate.radical surgery,if possible, should be performed with adjuvant chemo- and radio-therapy.

关 键 词：大肠肿瘤 生存率 老年人 青年人 

分 类 号：R735.34[医药卫生—肿瘤]