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目的:探讨及总结外科治疗老年直肠癌的临床疗效。方法:回顾性分析82例老年直肠癌患者临床资料。结果:82例患者中,择期手术63例,急诊手术19例;行根治性手术57例,姑息性手术25例;术前有并发心血管、呼吸系统、脑血管及糖尿病等疾病,术后治愈率为72.5%,好转率为24.8%,病死率为2.7%;术后以并发心律失常、切口感染、泌尿系感染及肺部感染为主。结论:手术治疗老年直肠癌患者疗效显著,对于合并症患者,结合患者个人情况选择不同的麻醉及手术方式,做好术前准备,可明显提高治疗效果及预后。
Objective: To investigate and summarize the clinical effects of surgical treatment of rectal cancer in the elderly. Methods: A retrospective analysis of 82 cases of elderly patients with rectal cancer clinical data. Results: Of the 82 patients, 63 were undergoing elective surgery and 19 were undergoing emergency surgery. Fifty-seven patients underwent radical surgery and 25 underwent palliative surgery. Preoperative patients had cardiovascular, respiratory, cerebrovascular and diabetes mellitus, and were cured The rate was 72.5%, the improvement rate was 24.8%, and the case fatality rate was 2.7%. Postoperative complications such as arrhythmia, incisional infection, urinary tract infection and pulmonary infection were the most common. Conclusion: Surgical treatment of rectal cancer in elderly patients with significant effect, for patients with comorbidity, combined with the patient’s personal circumstances choose a different anesthesia and surgical approach, good preoperative preparation, can significantly improve the treatment effect and prognosis.