老年人大肠癌的临床分析  

COLORECTAL CANCER IN OLD AGE

作　　者：师英强[1] 莫善兢[1] 蔡三军[1] 蔡宏[1] 

机构地区：[1]上海医科大学肿瘤医院腹外科,上海200032

出　　处：《中国癌症杂志》1998年第1期25-26,共2页China Oncology

摘　　要：目的 探讨老年人大肠癌的诊断治疗.方法 对1991年1月～1994年6月收治的88例老年人大肠癌予以分析.结果 临床病理分期:A期15例,B期36例,C期30例,D期7例.术前合并其他系统疾患58例(66%),实施根治性手术74例(84%).全组无手术死亡.结论 老年人大肠癌手术相对安全,应采用积极的根治性手术.围手术期处理及监护是防止术后各种并发症的关键.PURPOSETo investigate the diagnosis and treatment of colorectal cancer in the elderly. METHODS A series of 88 patients with colorectal cancer treated between January. 1991 and June, 1994. at the Shanghai Cancer Hospital was reviewed. RESULTS Following Dukes classification for colorectal cancers, we had 15 Dukes' class A, 36 Dukes' class B. 30 Dukes' class C. and 7 Dukes' class D. 66% of all patients preoperatively had other systemic disorders. We performed surgical procedure with radical resection for 74 (84%). None of the deaths in this study resulted from operation. CONCLUSION Better results are still expected when radical resection is performed, but careful pre- and post-operative management is required to minimize surgical complications in these elderly patients.

关 键 词：老年人 大肠癌肿瘤 围手术期 外科手术 诊断 

分 类 号：R735.34[医药卫生—肿瘤]