高龄大肠癌的临床病理学特征

The clinicopathologic Characteristics of Colorectal carcinoma in Aged Patients

摘要: 本文对我院1980～1993年底收治的51例70岁以上大肠癌的临床及病理学特征进行了总结分析，得出下列结论。1.高龄大肠癌男性多发，其发病有随人口寿命的提高而增加的趋势。2.临床以血便、排便习惯改变和肠梗阻的症状起病。3.高龄大肠癌好发部位为直肠。4.病理组织学分化好，恶性低、淋巴转移及血行转移低。5.并发症多，术后并发症高。5年生存率为34.1%。本文根据这些特征，提议在行充分术前准备并加强术后护理治疗前提下行手术治疗，以期提高生存率。

Abstract: The clinicopathological characteristics of colorectal carcinoma in aged patients(>70)were analyzed in 51 cases from 1980 to 1993n our hospital.The result showed:1.It appears in men more often than women.The incidence increase with age.2.It begins with rectal bleeding, changes in bowel habits and obstruction.3.The disease tends to occur in the rectum.4.Better histopathological differentiation, low malignancy, low lymph or blood metastasis rate.5.More complications.Peritoneum implantation occurs easily.6.5-year survival rate was 34.1%.According to these characteristics, we suggest that operation should be based on full preoperative preparation and intensive postoperative care to increase the survival rate.