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目的探讨老年人结直肠癌的临床特点。方法回顾性分析本院自2000年6月～2005年6月收治的319例65岁以上结直肠患者的临床资料。结果老年结直肠癌病人并存病达72.7%,手术并发症发生率和死亡率分别为31.9%和3.6%。术前并存病的有无和多少、年龄以及是否急诊手术与术后并发症和死亡率有关(P<0.05)。结论重视老年病人的早期症状、早期诊断以及积极治疗并存病是降低手术并发症和死亡率的关键。
Objective To investigate the clinical features of colorectal cancer in the elderly. Methods The clinical data of 319 colorectal cancer patients over 65 years admitted from June 2000 to June 2005 in our hospital were retrospectively analyzed. Results The elderly patients with colorectal cancer co-exist 72.7%, the incidence of complications and mortality were 31.9% and 3.6%. Preoperative co-existence of disease and the number and age, as well as whether emergency surgery and postoperative complications and mortality (P <0.05). Conclusion The importance of early symptoms in elderly patients, early diagnosis and active treatment of comorbidities is the key to reduce the incidence of complications and mortality.