论文部分内容阅读
目的:探讨老年人结肠癌并发肠梗阻的临床治疗特点及治疗方法。方法:回顾性分析49例老年结肠癌并发肠梗阻患者的临床资料,总结老年结肠癌并发肠梗阻的临床特点及治疗方法。结果:49例老年患者,治愈47例,治愈率为95.92%,死亡2例。术后,发生吻合口瘘1例,切口感染5例。对47例治愈患者随访3年,生存3年以上者16例(34.04%),1～2年15例(30.61%),1年以内16例(34.04%),死亡原因均为转移。结论:术中行肠道减压与灌洗是治疗结肠癌并发肠梗阻的关键因素,其操作简便、安全性高、术后并发症少,且可提高结肠癌Ⅰ期切除吻合术的成功率,值得临床推广应用。
Objective: To explore the clinical treatment characteristics and treatment of colonic obstruction in elderly patients with colon cancer. Methods: The clinical data of 49 patients with colonic obstruction complicated by intestinal obstruction were retrospectively analyzed. The clinical features and treatment of colonic obstruction in elderly patients were summarized. RESULTS: Of the 49 elderly patients, 47 were cured, the cure rate was 95.92%, and 2 died. Postoperatively, anastomotic fistula occurred in 1 patient and incision infection in 5 patients. A follow-up of 3 years was performed on 47 cases of cured patients, 16 cases (34.04%) survived for more than 3 years, 15 cases (30.61%) occurred within 1 to 2 years, and 16 cases (34.04%) occurred within 1 year. The cause of death was metastasis. Conclusion: Intraoperative bowel decompression and lavage are the key factors in the treatment of colonic obstruction complicated by intestinal obstruction. The operation is simple, safe, postoperative complications, and can improve the success rate of primary resection and anastomosis of colon cancer. Worthy of clinical application.