老年人结直肠癌62例临床特点分析

    Colorectal carcinoma in the elderly: A report of 62 cases

    • 摘要: 目的: 探讨老年人结直肠癌的临床特点和诊断治疗。方法: 对2000~2002年收治的62例患者(≥70岁)的临床资料进行回顾性分析。结果: Dukes C和D期占62.9%(39/62),并发急性肠梗阻者为29.8%(18/62),有并发症者占87.1%(54/62),本组根治性手术占51.6%(32/62)。误诊、迟诊在老年患者中相当普遍,影响预后。结论: 强调重视老年患者的早期症状,建议血常规、大便隐血、直肠指检、结肠镜和CT等规范检查,早诊断早治疗能改善临床结果

       

      Abstract: Objective: To clarify the features of colorectal carcinoma in patients over the age of 70 years.Methods: The clinical data of 62 patients(over 70 years of age) admitted from 2000 to 2002 were analyzed retrospectively.Results: Of the 62 cases,the incidence of Dukes C or D stage accounted for 62.9%(39/62),acute obstructing colorectal carcinoma 29.8%(18/62) and other system diseases 87.1%(54/62).Radical operation was performed in 51.6%(32/62) of the patients.Misdiagnosis and delayed diagnosis were common in old patient which would lead to poor prognosis.Conclusions: Early symptoms should be paid attention to Routine examinations such as blood test,stool test,rectal touch,colonoscopy and CT scan are recommended,as early detection and early treatment can improve the clinical outcome.

       

    /

    返回文章
    返回