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目的:探讨老年直肠癌的临床特点及治疗效果。方法:回顾性分析2001~2005年收治的95例老年直肠癌患者的临床表现、临床病理、治疗与预后。95例中80例采取手术治疗,Miles手术39例,Dixon手术25例,Hartmann手术6例,手术单纯造口10例。结果:95例临床主要表现为血便、粘液血便、大便次数改变、肛门坠胀和疼痛、腹痛、腹胀及骶尾部疼痛。病理分期以高分化腺癌和中分化腺癌居多,行根治性切除、Hartmann手术及单纯造口均无手术死亡。术后发生并发症29例(36.25%)。结论:重视老年直肠癌临床特点,选择适当的手术方式是减少并发症和提高治愈率的关键。
Objective: To investigate the clinical features and therapeutic effect of elderly rectal cancer. Methods: The clinical manifestations, clinical pathology, treatment and prognosis of 95 elderly patients with rectal cancer admitted from 2001 to 2005 were analyzed retrospectively. Among the 95 cases, 80 cases were treated surgically. There were 39 cases of Miles operation, 25 cases of Dixon operation, 6 cases of Hartmann operation and 10 cases of simple ostomy. Results: The main clinical manifestations of 95 cases were bloody stool, bloody stools, stool frequency, anal bulge and pain, abdominal pain, abdominal distension and sacrococcygeal pain. Pathological staging to well-differentiated adenocarcinoma and moderately differentiated adenocarcinoma, radical resection, Hartmann surgery and simple stoma were no operative death. Postoperative complications occurred in 29 cases (36.25%). Conclusion: Pay attention to the clinical features of elderly rectal cancer, select the appropriate surgical approach is to reduce complications and improve the cure rate of the key.