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目的 :探讨高龄直肠癌的临床特点 ,病理特征及预后影响因素。方法 :回顾性总结 2 9例高龄直肠癌的临床和病理资料。结果 :2 9例病人中 2 5例手术 ,其中 12例行miles手术 ,6例行直肠癌前切除 ,3例行肿瘤局部切除术 ,4例行结肠造口术 ,手术切除率为为 84 % (2 5 2 9) ;手术后 2例切口全层裂开 ,1例肠梗阻 ,1例吻合口瘘 ,2例出现较严重的肺部感染 ,2例术后出现心肺功能衰谒死亡 ,并发症发生率为 32 % (8 2 5 )。结论 :高龄直肠癌者症状出现迟 ,诊断晚 ,进展期多 ,伴发病多 ,手术根治性低 ,故预后差 ;早期诊断 ,早期治疗 ,以及围手术期的正确处理对改善预后至关重要。
Objective: To investigate the clinical features, pathological features and prognostic factors of advanced colorectal cancer. Methods: The clinical and pathological data of 29 elderly patients with rectal cancer were retrospectively reviewed. RESULTS: Twenty-five patients underwent surgery in 12 of 9 patients, including 12 in Miles, 6 in pre-rectal cancer, 3 in tumor resection and 4 in colostomy. The surgical resection rate was 84% (2 5 2 9). There were 2 cases of incision full-thickness incision, 1 case of intestinal obstruction, 1 case of anastomotic fistula, 2 cases of severe pulmonary infection, 2 cases of postoperative cardiopulmonary failure, The prevalence rate was 32% (8 2 5). Conclusion: The symptoms of advanced colorectal cancer appear later, the diagnosis is late, more advanced, associated with more, radical surgery is low, so the prognosis is poor; early diagnosis, early treatment, and perioperative management is essential to improve the prognosis.