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目的:探讨老年人结直肠癌的外科治疗。方法:分析我院近10年来125例老年人结直肠癌病例资料。结果:125例中,男75例,女50例,病变部位:盲肠7例(5.6%),升结肠23例(18.4%),横结肠8例(6.4%),降结肠2例(1.6%),乙状结肠17例(13.6%),直肠78例(62.4%)。110例合并其他疾病存在,60例(48%)行根治性手术。术后25例并发症。随访1个月～10年,5年存活率32%。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,选择合适治疗方案,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: Analysis of 125 cases of colorectal cancer in our hospital in recent 10 years. Results: There were 75 males and 50 females in 125 cases. The lesions included 7 cases of cecum (5.6%), 23 cases of ascending colon (18.4%), 8 cases of transverse colon (6.4%) and 2 cases of descending colon , Sigmoid colon in 17 cases (13.6%), rectum in 78 cases (62.4%). 110 cases combined with other diseases exist, 60 cases (48%) underwent radical surgery. Postoperative complications in 25 cases. Follow-up 1 month to 10 years, 5-year survival rate of 32%. Conclusion: The incidence of preoperative complications and postoperative complications in elderly patients with colorectal cancer is high. Perioperative management is the most important. Choosing the appropriate treatment regimen can reduce the mortality and increase the 5-year survival rate.