论文部分内容阅读
目的:观察结肠癌所致肠梗阻手术术式选择和临床疗效。方法:对我院在2002年02月到2012年01月收治的112例结肠癌所致肠梗阻患者进行治疗的临床资料进行分析,观察结肠癌所致肠梗阻手术术式选择和临床疗效。结果:112例结肠癌所致肠梗阻患者中,选择肠切除吻合手术的患者占56例,其中进行结肠减压灌洗的患者占30例,没有进行减压灌洗的患者占26例。选择结肠全切除的患者占20例,选择Hartmann’s手术的患者占36例;不同方式的手术治疗患者的死亡率、治愈率、复发率和吻合口瘘之间的差异不具有统计学意义。结论:对于结肠癌所致肠梗阻患者,要在早期给予及时的诊断,根据患者的病情针对性的让患者尽早的选择合适的术式进行治疗,有利于提高手术的成功率,降低术后并发症的发生率,促进在临床治疗中达到更理想的治疗效果。
OBJECTIVE: To observe the operative choice and clinical curative effect of intestinal obstruction caused by colon cancer. Methods: The clinical data of 112 patients with intestinal obstruction caused by colon cancer who were treated in our hospital from February 2002 to January 2012 were analyzed to observe the operation selection and clinical efficacy of colon cancer caused by intestinal obstruction. Results: Of 112 patients with intestinal obstruction caused by colon cancer, 56 patients underwent enteral resection and anastomosis surgery, of which 30 patients underwent colon decompression lavage and 26 patients did not undergo decompression lavage. Totally 20 patients underwent total colon resection and 36 patients underwent Hartmann’s surgery. There was no significant difference in mortality, cure rate, recurrence rate and anastomotic fistula among the different surgical treatments. Conclusion: For patients with intestinal obstruction caused by colon cancer, we should give timely diagnosis in the early stage, according to the patient’s condition, let patients choose the appropriate surgical treatment as soon as possible, which will help to improve the success rate of surgery and reduce postoperative complications The incidence of disease, to promote the clinical treatment to achieve a more ideal therapeutic effect.