老年人结直肠癌的外科治疗280例分析  

Analysis of 280 elder patients underwent surgery for colorectal cancers

作　　者：施巍巍[1] 张挺[1] 张斐斐[1] 

机构地区：[1]启东市人民医院普通外科,226200

出　　处：《江苏医药》2009年第10期1157-1158,共2页Jiangsu Medical Journal

摘　　要：目的探讨老年人结直肠癌的外科治疗。方法回顾性分析280例老年人手术治疗结直肠癌病例资料。结果280例中,男161例,女119例,年龄70～95岁。病变部位:直肠和乙状结肠占67.8%,右半结肠癌症占22.4%。122例(43.6%)术前存在心血管疾病、糖尿病等合并症。215例(76.8%)行根治性手术。术后36例(12.9%)出现肠梗阻、出血、感染等并发症,死亡3例(1.1%)。随访1个月～10年,5年存活率51.9%。结论老年人结直肠癌患者术前合并症和术后并发症的发生率较高,重视围手术期处理可降低手术死亡率,提高5年存活率。Objective To investigate the surgical treatment of cotorectal cancer （CRC） in the elderly. Methods The clinical and pathological data of 280 CRC patients（161 males and 119 females, aged 70 to 95 years old） accepted surgical treatment were retrospectively analyzed. Results Among 280 patients, 67.8% of the tumors located in the rectum and sigmoid colon,22.4% in the right site of the colon. Of 280 eases, 122（43.6%） cases were complicated with cardiovascular disease or diabetes mellitus. Radical excisions were performed in 215 cases（76.8%）. Postoperative complications,such as intestinal obstruction, haemorrhage, infection occurred in 36 patients （12.9%）, of whom 3 patients （1.1%） died after operation. The total 5-year survival rate was 51.9%. Conclusion Though the elder CRC patients have more complicated diseases before operation and more postoperative complications, the operative mortality can be kept lower and 5-year survival rate could be improved if much more attentions have been paid to the perioperative management.

关 键 词：结直肠癌 外科治疗 

分 类 号：R735[医药卫生—肿瘤]