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目的:探索老年直肠癌患者外科手术治疗的最佳方案。方法:回顾性分析我院2011年3月~2013年3月间收治的年龄在60岁以上的直肠癌患者,对患者临床资料、手术方式、术后结果进行全面分析。结果:老年患者癌肿距肛缘较近,且以肿块型管状腺瘤为主,且癌肿绕直肠周径>1/2者较多,术后并发症中以切口感染和腹壁切口开裂为主,分别占到60%和20%,术后围手术期内死亡2例,死亡率为2.94%。结论:老年直肠癌患者同青年患者相比有一定的特殊性,就目前研究结果显示通过手术切除的方式仍然是最佳选择,但是应结合老年患者的实际情况处理好术后并发症,同时做好老年患者预防和术后恢复的宣传教育工作,达到最佳疗效。
Objective: To explore the optimal surgical treatment of elderly patients with rectal cancer. Methods: A retrospective analysis of our hospital from March 2011 to March 2013 admitted to the age of 60 years of age patients with rectal cancer, the clinical data, surgical methods, postoperative results were analyzed. Results: The cancer in elderly patients was close to the verge of anal vergence, and the majority of tumorous tubular adenomas were tumor-surrounding lesions> 1/2. The postoperative complications were incision infection and incision of the abdominal wall as Lord, accounting for 60% and 20%, respectively. Two patients died during the perioperative period, with a mortality rate of 2.94%. Conclusion: The patients with rectal cancer in the elderly have some particularities compared with the young patients. The current research shows that the surgical resection method is still the best choice, but the postoperative complications should be handled according to the actual situation of the elderly patients. Good elderly prevention and postoperative recovery of publicity and education work to achieve the best effect.