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目的探讨老年结直肠癌患者临床特点,提高老年结直肠癌诊疗水平。方法回顾性分析2008年5月至2011年5月收治的92例年龄>60岁的老年结直肠癌患者的临床资料。结果老年结直肠癌患者临床表现以大便性状改变和腹部疼痛为主,92例患者中有77例实施了根治性手术,病理类型以中分化腺癌居多,59例(64.1%);Dukes分期以B期居多,50例(54.3%)。患者生存18个月者83例,生存率达90.2%。结论老年结直肠癌患者临床表现隐匿,早期诊断、早期治疗具有积极意义。手术治疗依然是老年结直肠癌患者的首选方式,积极的术后辅助治疗有助于降低并发症,延长患者生存时间。
Objective To investigate the clinical features of elderly patients with colorectal cancer and improve the diagnosis and treatment of colorectal cancer in the elderly. Methods The clinical data of 92 elderly patients with colorectal cancer aged> 60 years who were admitted to our hospital from May 2008 to May 2011 were retrospectively analyzed. Results The clinical manifestations of elderly patients with colorectal cancer were mainly stool changes and abdominal pain. Of the 92 patients, 77 patients underwent radical surgery. The majority of pathological types were moderately differentiated adenocarcinoma (59 cases, 64.1%). The Dukes staging The majority of B, 50 cases (54.3%). 83 patients survived 18 months, the survival rate of 90.2%. Conclusion Clinical manifestations of elderly patients with colorectal cancer hiding, early diagnosis, early treatment has a positive meaning. Surgical treatment is still the preferred method for elderly patients with colorectal cancer, and positive postoperative adjuvant therapy can help reduce complications and prolong patient survival.