对70岁以上的直肠癌患者,手术切除和永久性结肠造瘘术已成为最常用的方法。某些作者推荐局部切除,但大多数仍采用根治性手术。本文作者应用局部电凝法治疗了6例平均年龄77岁的直肠腺癌患者。1例诊断时已有肝转移,术后9个月死亡;另1例于术后19个月需作结肠造瘘术。余4例已随访9月～3 For patients with rectal cancer older than 70 years, surgical resection and permanent colostomy have become the most common methods. Some authors recommend partial resection, but most still use radical surgery. The authors treated 6 patients with rectal adenocarcinoma of average age 77 years using local electrocoagulation. One case had liver metastasis at the time of diagnosis and died 9 months after the operation; the other case required colostomy 19 months after surgery. The remaining 4 cases have been followed up for September ~ 3