高龄大肠癌患者围手术期治疗临床分析  

Study of perioperative mangement of senile patients with colorectal carcinoma

作　　者：刘刚[1] 

机构地区：[1]天津市南开医院肛肠外科,天津300100

出　　处：《天津医科大学学报》2007年第1期86-87,共2页Journal of Tianjin Medical University

摘　　要：目的:探讨高龄大肠癌尤其是并发心肺疾患的病人围手术期处理的有关问题。方法:回顾性分析自2004～2006年收治的65岁以上大肠癌病人80例的外科治疗资料。结果:行根治性切除术62例,切除率77.50%,姑息切除术4例,Hartman术6例,单纯造瘘4例,短路手术4例,无手术死亡病例。术后并发症45例次,围手术期死亡3例,病死率3.75%。结论:对高龄大肠癌患者充分的术前准备,适当的手术时机与手术方式的选择,完善术中、术后的心肺功能监测,精细简洁的手术操作,是减少并发症、提高根治性切除的重要方法。Objective： To study perioperative management of the senile patients with colorectal carcinoma with cardiopulmonary problems. Methods： Total of 80 over 65years old patients with colorectal carcinoma surgically treated, during 2004 ~2006,were analysised retrospectively. Results： 62cases received radical resection （the resectional rate was 77.5%）. 4cases received palliative resection,6 cases received Hartman operation, 4 cases received colostomy, 4 cases received bypass operation. There was no death case intraoperatively. There were 45 cases appeared post-operative complications and 3 cases dead （death rate 3.75%） during perioperation. Conclusion： To operate successfully on the senile patients with colorectal carcinoma, the preparetions of thoroughy peroperation are necessary including, choose the proper operative opportunity and way of operation, closed monitoring of the cardiopulmonary function, tiny and gental procedure intra-operation are necessary including. All of the above factors are important to improve the radical resection rate and reduce the postoperative complication.

关 键 词：大肠癌 外科手术 高龄病人 

分 类 号：R735.34[医药卫生—肿瘤]