老年结、直肠癌临床诊治分析

目的探讨老年结、直肠癌的临床诊断和治疗分析。方法回顾性分析2004年3月-2008年4月在本院进行治疗的老年结直肠癌患者54例，全组患者均经过外科手术治疗。结果32例患者术前合并心血管疾病12例，呼吸系统疾病15例，糖尿病5例；54例患者行根治性手术28例，姑息性手术16例，造瘘术10例；术后发生并发症18例，其中，切口感染7例，腹腔感染5例，肺部感染3例，造瘘口坏死3例。结论老年结直肠癌的治疗要根据患者的具体情况综合分析，选择合理的手术方式提高疗效，减少术后并发症。

Diagnosis and treatment of colorectal cancer in elderly patients

Objective To explore the diagnosis and treatment of colorectal cancer in elderly patients. Methods A ret- rospective analyzed of March 2004 to April 2008 in our hospital for treatment of elderly patients with colorectal cancer in 54 cases, all patients had to undergo a surgical operation treatment. Results Thirty-two cases of patients with car- diovascular diseases in 12 cases, 15 cases of disease of respiratory system, 5 cases of diabetes mellitus; 54 patients un- derwent radical operation in 28 cases, palliative operation in 16 cases, 10 cases of fistula; Postoperative complications occurred in 18 cases, including 7 cases of wound infection, abdominal cavity infection in 5 cases, pulmonary infection in 3 cases, 3 eases of stoma necrosis. Conclusion Elderly colorectal cancer treatment to the patients according to the specific situation of comprehensive analysis, choose the reasonable operation mode can improve efficacy, reduce post- operative complications.