目的：探讨老年结、直肠癌性梗阻的临床特点及诊治。方法：回顾我院自１９９１ 年１ 月至１９９８ 年１２ 月收治的６３ 例病例，结合国内外文献加以分析。结果：６３ 例均经手术治疗，痊愈６１例，死亡２ 例，病死率３－２ ％ 。结论：老年结直肠癌性梗阻患者，多数病程长，合并症多，误诊率高，治疗难度大。手术应以一期切除肿瘤为主。一般情况差的行Ｈａｒｔｍａｎｎ 术式更为有利。 Objective: To investigate the clinical features, diagnosis and treatment of elderly patients with colorectal obstruction. Methods: Review 63 cases admitted to our hospital from January 1991 to December 1998, combined with domestic and foreign literature analysis. Results: All the 63 cases were treated by surgery, 61 cases were cured, 2 died and the mortality rate was 3-2%. Conclusion: The majority of elderly patients with colorectal cancer obstruction, most of the long course of disease, complications, high rate of misdiagnosis, difficulty in treatment. Surgery should be performed with a primary resection of the tumor. Bad Hartmann’s technique is generally more favorable.