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老年人结直肠癌外科治疗56例临床分析
引用本文:马光梳,魏东,戈佳云,王琳,李晓. 老年人结直肠癌外科治疗56例临床分析[J]. 昆明医学院学报, 2011, 32(4): 148-151,155
作者姓名:马光梳  魏东  戈佳云  王琳  李晓
作者单位:1. 会泽县人民医院普通外二科,云南,会泽,654200
2. 昆明医学院第二附属医院肝胆外二科,云南,昆明,650101
摘    要:
目的探讨老年人结直肠癌的临床特点、外科治疗、围手术期处理及术后并发症防治,以期提高手术疗效.方法回顾性分析2008年1月至2010年12月经外科治疗56例老年人结直肠癌患者的临床资料.结果全组病例均行手术治疗,术后随访1~28个月,随访率为100%,术后1 a生存率为85.71%(48/56),2a生存率为46.43%(26/56).38例患者术后出现并发症,其中肺部感染12例,切口感染5例,肠瘘3例,高血压3例,心功能不全6例,肝功能不全5例,急性肾功能衰竭2例,应激性溃疡2例,无死亡病例.结论老年人结直肠癌患者无特征性临床表现,且合并疾病较多,增加了手术风险.目前,手术治疗是老年人结直肠癌患者较好的治疗方法,加强围手术期处理,积极防治合并疾病,可提高患者的手术成功率、减少并发症、降低死亡率.

关 键 词:老年人  结直肠癌  外科治疗

A Clinical Analysis of Surgical Treatment for 56 Elderly Patients with Colorectal Cancer
MA Guang-shu,WEI Dong,GE Jia-yun,WANG Lin,LI Xiao. A Clinical Analysis of Surgical Treatment for 56 Elderly Patients with Colorectal Cancer[J]. Journal of Kunming Medical College, 2011, 32(4): 148-151,155
Authors:MA Guang-shu  WEI Dong  GE Jia-yun  WANG Lin  LI Xiao
Affiliation:MA Guang-shu1),WEI Dong 2),GE Jia-yun2),WANG Lin2),LI Xiao2)(1)Dept.2 of General Surgery,The People's Hospital of Huize,Huize Yunnan 654200,2)Dept.2 of Hepatobilliary Surgery,The 2nd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650101,China)
Abstract:
Objective To explore the clinical characteristics,surgical treatment,perioperative management,and prevention of postoperative complications for the elderly patients with colorectal cancer so as to improve surgical curative effects.Methods The clinical data of 56 elderly patients with colorectal cancer from January 2008 to December 2010 were analyzed retrospectively.Results All the patients were treated surgically.56 patients were followed for 1 to 28 months and the follow-up rate was 100%.The survival rate ...
Keywords:The elderly  Colorectal cancer  Surgical treatment  
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