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对1997～2008年围手术处理的163例高龄结直肠癌合并糖尿病患者作回顾性分析。结果:163例病人均作结直肠癌择期手术,术后并发症发生率39.9%,其中切口感染19.6%(32/163),肺部感染12.3%(20/163),吻合口漏占3.7%(6/163),泌尿系感染为2.5%(4/163),高渗性昏迷1.2%(2/163),死亡0.6%(1/163)。术后平均住院20天。结论:如能做到控制血糖、选择合理的术式和手术时机,高龄结直肠癌并糖尿病患者可顺利度过围手术期,并取得良好的手术疗效。
A retrospective analysis of 163 elderly colorectal cancer patients with diabetes mellitus treated during 1997-2008. Results: All 163 patients underwent elective surgery for colorectal cancer. The incidence of postoperative complications was 39.9%, including 19.6% (32/163) incisional wound infection, 12.3% (20/163) pulmonary infection and 3.7% leakage of anastomotic leakage (6/163), urinary tract infection was 2.5% (4/163), hypertonic coma was 1.2% (2/163) and death was 0.6% (1/163). The average postoperative hospitalization 20 days. Conclusion: If we can control blood sugar, choose a reasonable surgical procedures and timing of operation, elderly patients with colorectal cancer and diabetes can successfully perioperative period, and achieved good surgical results.