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目的探讨老年结直肠癌患者的外科治疗方法。方法回顾1999-2007年53例60岁以上老年结直肠癌的外科治疗方法的临床资料。结果老年结直肠癌患者,手术切除46例,切除率为86.8%。根治性手术38例(71.7%),并存病45例(84.4%)。结论手术切除是老年结直肠癌患者的最佳治疗方法,但早期诊断、合理处理并存病、充分的肠道准备、适当的麻醉和手术方法,有效的预防和治疗并发症是提高疗效的关键。
Objective To investigate the surgical treatment of elderly patients with colorectal cancer. Methods The clinical data of 53 surgical treatment of colorectal cancer over the age of 60 from 1999 to 2007 were retrospectively reviewed. Results In elderly patients with colorectal cancer, surgical resection in 46 cases, the resection rate was 86.8%. Radical surgery in 38 cases (71.7%), and 45 cases of coexisting disease (84.4%). Conclusions Surgical resection is the best treatment for elderly patients with colorectal cancer. However, early diagnosis, proper management of comorbidity, adequate intestinal preparation, appropriate anesthesia and surgical methods, and effective prevention and treatment of complications are the keys to improve the curative effect.