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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 colorectal cancer in the elderly. Methods Retrospective analysis of 280 cases of elderly patients with colorectal cancer surgery data. Results 280 cases, 161 males and 119 females, aged 70 to 95 years. Lesions: rectum and sigmoid colon accounted for 67.8%, right colon cancer accounted for 22.4%. 122 cases (43.6%) preoperative existence of cardiovascular disease, diabetes and other complications. 215 cases (76.8%) underwent radical surgery. Postoperative 36 patients (12.9%) showed intestinal obstruction, bleeding, infection and other complications, 3 patients died (1.1%). Followed up for 1 month to 10 years, 5-year survival rate of 51.9%. Conclusion The incidence of preoperative complications and postoperative complications in elderly patients with colorectal cancer is high. Perioperative management can reduce the operative mortality and increase the 5-year survival rate.