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目的:探讨老年人大肠癌患者围手术期的处理方法。方法:回顾性分析1995/2005年间老年人大肠癌患者的临床资料。结果:根治性切除92例(66.2%),姑息性切除30例,结肠造口12例,捷径手术8例。吻合口瘘3例,死亡3例。结论:老年人大肠癌积极准备后尽早手术,合理选择手术方式,加强营养,预防和治疗术后并发症,安全渡过危险期是可能的。
Objective: To explore the perioperative management of colorectal cancer in the elderly. Methods: The clinical data of elderly patients with colorectal cancer from 1995 to 2005 were analyzed retrospectively. Results: Radical resection in 92 cases (66.2%), palliative resection in 30 cases, colostomy in 12 cases, short-cut operation in 8 cases. Anastomotic fistula in 3 cases, 3 died. Conclusion: It is possible for the elderly to take operation as soon as possible after aggressive preparation for colorectal cancer. It is possible to rationally select the mode of operation, enhance nutrition, prevent and treat postoperative complications and safely pass the dangerous period.