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目的 探讨老年结肠癌肠梗阻的特点及外科诊治方式 ,为诊治此类患者提供依据。方法 回顾性分析我科 1996年 6月~ 2 0 0 3年 6月 4 6例老年结肠癌肠梗阻患者的外科诊治资料。结果 4 6例均经手术治疗 ,痊愈 4 4例 ,死亡 2例 ,病死率 4 .0 % ;37例属中晚期 ,占 80 .4 % ;术前有并存病 2 9例 ,占 6 3% ;一期切除肿瘤 4 3例 ,切除率为 93.5 % ;术后并发症 10例 ,占 2 1.74 %。结论 结肠癌肠梗阻的老年患者多数病程长 ,病期晚 ,并存病多 ,手术多以一期切除肿瘤为主。
Objective To investigate the characteristics and surgical diagnosis and treatment of intestinal obstruction in elderly patients with colorectal cancer and provide basis for diagnosis and treatment of such patients. Methods The clinical data of 46 cases of elderly patients with colon cancer with intestinal obstruction from June 1996 to June 2003 were retrospectively analyzed. Results 46 cases were treated by surgery, 44 cases were cured, 2 died, the mortality rate was 4 .0%; 37 cases were advanced, accounting for 80.4%; preoperative coexisting 29 cases, accounting for 63% ; 43 cases of primary resection of the tumor, the resection rate was 93.5%; postoperative complications in 10 cases, accounting for 1.74%. Conclusions Most of the elderly patients with intestinal obstruction of colon cancer have long course of disease, late disease stage and co-morbidities. Most of them are primary tumor resection.