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为了探讨70岁以上大肠癌患者手术治疗的意义,对1982年6月至1992年6月手术治疗的92例大肠癌患者进行回顾性分析。伴有合并症患者47例,占51.1%。41例伴心血管及呼吸系统疾病,部分患者伴有2种以上合并症。行根治性手术患者87例。手术并发症12例(13.0%),手术死亡2例(2.2%)。3a生存率(64.55±4.9)%(寿命表法),5a生存率(46.8±5.8)%。结果显示:高龄患者年龄因素不是手术禁忌证,患者虽然多伴有合并症,但加强围手术期处理,严密监护可降低手术死亡率。选择手术方式应根据全身情况在保证手术安全的情况下行根治性切除。
In order to explore the significance of surgical treatment for colorectal cancer patients over 70 years old, 92 patients with colorectal cancer undergoing surgery from June 1982 to June 1992 were retrospectively analyzed. 47 patients with complications accounted for 51.1%. Forty-one patients had cardiovascular and respiratory diseases, and some patients had more than two comorbidities. 87 patients undergoing radical surgery. Surgical complications occurred in 12 cases (13.0%) and surgical deaths in 2 cases (2.2%). The 3-year survival rate (64.55±4.9)% (life table method) and 5-year survival rate (46.8±5.8)%. The results showed that: The age of senior patients is not a contraindication to surgery. Although patients are often accompanied by complications, perioperative management is strengthened, and close monitoring can reduce operative mortality. The choice of surgical approach should be based on the general condition in the case of ensuring the safety of surgery under the radical resection.