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 2 0 0 0～ 2 0 0 2年收治的 6 2例患者 (≥ 70岁 )的临床资料进行回顾性分析。结果 :DukesC和D期占 6 2 .9% (39/ 6 2 ) ,并发急性肠梗阻者为 2 9.8% (1 8/ 6 2 ) ,有并发症者占 87.1 % (5 4 /6 2 ) ,本组根治性手术占 5 1 .6 % (32 / 6 2 )。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 。
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.
出处
《蚌埠医学院学报》
CAS
2004年第2期125-127,共3页
Journal of Bengbu Medical College
关键词
结肠肿瘤
直肠肿瘤
老年病学
colonic neoplasms
rectal neoplasms
geriatrics
