论文部分内容阅读
目的探讨老年人结肠癌的临床特点及外科治疗方法。方法回顾性分析安徽医科大学第一附属医院干部外科收治的87例行外科手术治疗并有完整随访资料的60岁以上的老年结肠癌患者,对其临床特点及外科治疗方法做临床分析。结果87例老年结肠癌患者,根治性切术68例(78.2%),非根治性切术19例(21.8%)(姑息性切除术10例,造瘘术5例,单纯剖腹探查术4例)。两者的1年、2年和3年生存率分别为:51.5%,44.1%,38.2%和15.8%,5.3%,5.3%,两者有明显差异(P<0.05),有明显的统计学意义。<70岁和≥70岁患者的1年、2年和3年生存率无明显差异(P>0.05)。结论对于老年胃癌,术前充分准备,术后积极处理,多能耐受手术,而恰当的手术方法的选择是提高治愈率,减少并发症、降低死亡率的关键。
Objective To investigate the clinical features and surgical treatment of colon cancer in the elderly. Methods A retrospective analysis of 87 cases of elderly patients with colon cancer over the age of 60 who underwent surgery and had complete follow-up data admitted to the First Affiliated Hospital of Anhui Medical University for clinical analysis of clinical features and surgical treatment methods was performed. Results 87 cases of elderly patients with colon cancer, 68 cases of radical resection (78.2%), non-radical resection in 19 cases (21.8%) (palliative resection in 10 cases, ostomy in 5 cases, simple laparotomy in 4 cases ). The two-year, two-year and three-year survival rates were 51.5%, 44.1%, 38.2% and 15.8%, 5.3% and 5.3% respectively, with significant difference between the two groups (P <0.05) significance. There was no significant difference in 1-year, 2-year and 3-year survival rates in patients <70 years and ≥70 years (P> 0.05). Conclusion For elderly patients with gastric cancer, preoperative preparation, active management, and more able to tolerate surgery, and the choice of appropriate surgical methods is to improve the cure rate, reduce complications and reduce the mortality key.