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[目的]探讨直肠癌局部切除术在老年患者中应用的疗效。[方法]回顾性分析33例65岁以上老年直肠癌患者局部切除术,经肛门局部切除29例,经骶骨局部切除4例。术后病理Tis8例,T114例,T2a5例,T2b2例,T34例。其中3例T3患者行术前放疗,13例患者行术后放疗。[结果]全组无手术并发症和手术死亡发生。局部复发率15.2%(5/33),其中1例伴有远处转移。远处转移率9.1%(3/33)。3年和5年生存率分别为96.4%和86.6%。[结论]老年直肠癌患者行局部切除术有一定疗效,辅助放化疗能够降低局部复发、延长生存期。
[Objective] To investigate the effect of partial resection of rectal cancer in elderly patients. [Methods] The resection of 33 cases of rectal cancer patients aged over 65 years were retrospectively analyzed. Twenty-nine cases underwent partial resection of the anus and four cases underwent partial resection of the sacrum. Postoperative pathological Tis8 cases, T114 cases, T2a5 cases, T2b2 cases, T34 cases. Three cases of T3 patients underwent preoperative radiotherapy and 13 patients underwent postoperative radiotherapy. [Results] The whole group had no surgical complications and surgical death. The local recurrence rate was 15.2% (5/33), of which 1 was associated with distant metastasis. The distant metastasis rate was 9.1% (3/33). The 3-year and 5-year survival rates were 96.4% and 86.6% respectively. [Conclusion] Local resection in elderly patients with rectal cancer has a certain effect, adjuvant radiotherapy and chemotherapy can reduce local recurrence and prolong survival.