摘要
本文总结了３８例８０岁以上老年大肠癌外科治疗的临床资料。认为高龄大肠癌患者具有病程长，症状及体征不典型，合并症及并发症较多，病理类型及分化、分期较好，术后生存率与手术切除方式无关的临床特点。主张高龄大肠癌应坚持早期发现、早期诊断、早期治疗的原则，积极、合理、有效地防治合并症及并发症，手术方案以肿瘤楔形切除术为主，在围手术期予患者短期全肠外营养支持治疗。
Summarizing their experience in the surgical treatment of colon cancer in elderly patients over 80 years, the authors found that the patients had the following clinical characteristics:① a long history and atypical symptoms and signs; ② a high percentage of concomitant medical diseases and postoperative complications; ③ pathologically well differentiated and well classified both in type and stage; ④survival rate not related to the methods of surgical resection. For colon cancer in the elderly, the principle of early discovery, early diagnosis and early treatment is advocated. Concomitant medical diseases and complications should be treated in time. The wedge resection is the major method for operation, and the patients should receive total parenteral untrition support perioperatively.
出处
《实用老年医学》
CAS
1996年第4期170-171,共2页
Practical Geriatrics
关键词
大肠癌
肿瘤楔形切除术
全肠外营养
治疗
Colon carcinoma Wedge resection Total parenteral nutrition(TPN)
