老年人结直肠癌62例临床特点分析  

Colorectal carcinoma in the elderly:A report of 62 cases

作　　者：秦悦农[1] 陈健康[1] 彭炜[1] 

机构地区：[1]上海市中西医结合医院外科,200082

出　　处：《蚌埠医学院学报》2004年第2期125-127,共3页Journal of Bengbu Medical College

摘　　要：目的 :探讨老年人结直肠癌的临床特点和诊断治疗。方法 :对 2 0 0 0～ 2 0 0 2年收治的 6 2例患者 (≥ 70岁 )的临床资料进行回顾性分析。结果 :DukesC和D期占 6 2 .9% (39/ 6 2 ) ,并发急性肠梗阻者为 2 9.8% (1 8/ 6 2 ) ,有并发症者占 87.1 % (5 4 /6 2 ) ,本组根治性手术占 5 1 .6 % (32 / 6 2 )。误诊、迟诊在老年患者中相当普遍 ,影响预后。结论 :强调重视老年患者的早期症状 ,建议血常规、大便隐血、直肠指检、结肠镜和CT等规范检查 。Objective:To clarify the features of colorectal carcinoma in patients over the age of 70 years.Methods:The clinical data of 62 patients(over 70 years of age) admitted from 2000 to 2002 were analyzed retrospectively.Results:Of the 62 cases,the incidence of Dukes C or D stage accounted for 62.9%(39/62),acute obstructing colorectal carcinoma 29.8%(18/62) and other system diseases 87.1%(54/62).Radical operation was performed in 51.6%(32/62) of the patients.Misdiagnosis and delayed diagnosis were common in old patient which would lead to poor prognosis.Conclusions:Early symptoms should be paid attention to Routine examinations such as blood test,stool test,rectal touch,colonoscopy and CT scan are recommended,as early detection and early treatment can improve the clinical outcome.

关 键 词：结肠肿瘤 直肠肿瘤 老年病学 

分 类 号：R735.35[医药卫生—肿瘤]