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目的分析老年人直肠癌的临床特点和围手术期治疗。方法回顾分析103例老年直肠癌的临床资料,比较围手术期治疗。结果围手术期死亡6例,术后并发症62例占60.2%,其中肺部感染28例,切口感染9例,吻合口瘘7例,切口裂开2例,肠梗阻1例,心脑血管疾病8例,左下肢深静脉血栓形成2例,造瘘口坏死1例。结论老年人直肠癌不是外科手术治疗的禁忌症,重视围手术期正确及时的处理可以减少术后并发症,改善生活质量。
Objective To analyze the clinical features and perioperative treatment of rectal cancer in the elderly. Methods The clinical data of 103 elderly patients with rectal cancer were retrospectively analyzed. The perioperative treatment was compared. Results Perioperative death in 6 cases, 62 cases of postoperative complications accounted for 60.2%, of which 28 cases of pulmonary infection, incision infection in 9 cases, 7 cases of anastomotic fistula, incision in 2 cases, intestinal obstruction in 1 case, cardiovascular and cerebrovascular 8 cases of disease, 2 cases of deep venous thrombosis of the left lower extremity and 1 case of necrosis of the fistula. Conclusion Rectal cancer in the elderly is not a contraindication to surgical treatment. Emphasis on proper and timely perioperative management can reduce postoperative complications and improve quality of life.