CAJ | 학술논문

目的探讨老年性结直肠癌的临床特点和围手术期治疗.方法回顾分析104例老年结、直肠癌的临床资料,比较围手术期治疗.结果 99例(95.2%)患者痊愈或好转出院.围手术期发生肺部感染13例(12.5%),其中6例(5.8%)发生呼吸衰竭;下肢深静脉血栓3例(2.9%);切口感染6例(5.8%);切口裂开2例(1.9%);肠瘘1例(1.0%);胃瘫1例(1.0%).因术后多器官功能衰竭死亡5例(4.8%).结论老年人不是外科治疗老年结直肠癌的手术禁忌证,重视围手术期正确及时的处理可以减少术后并发症,改善患者生活质量.
목적 탐토노년성결직장암적림상특점화위수술기치료.방법 회고분석104례노년결、직장암적림상자료,비교위수술기치료.결과 99례(95.2%)환자전유혹호전출원.위수술기발생폐부감염13례(12.5%),기중6례(5.8%)발생호흡쇠갈;하지심정맥혈전3례(2.9%);절구감염6례(5.8%);절구렬개2례(1.9%);장루1례(1.0%);위탄1례(1.0%).인술후다기관공능쇠갈사망5례(4.8%).결론 노년인불시외과치료노년결직장암적수술금기증,중시위수술기정학급시적처리가이감소술후병발증,개선환자생활질량.
Objective To explore the clinical features and perioperative treatment effects of colorectal cancer in elderly patients.Methods Retrospective analysis of clinical data especially focusing on perioperative treatment from 104 elderly patients with coloreetal cancer were performed.Results A total of 99 patients (95.2%) were cured or improved at discharge.Perioperative pulmonary infection occurred in 13 cases (12.5%), of whom 6 cases (5.8%) suffered from respiratory failure.Lower extremity deep venous thrombosis occurred in 3 cases (2.9%), incision infection in 6 cases (5.8%), wound dehiscence in 2 cases (1.9%), intestinal fistula in 1 case (1.0%) and gastroparesis in 1 case (1.0%).About 5 cases (4.8%) died from multiple organ failure.Conclusions Old age is not a contraindication in surgical treatment for colorectal cancer.Paying attention to accurate and timely treatment in perioperative peroid can reduce postoperative complications and improve patients' quality of life.