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目的探讨老年性结直肠癌并梗阻的诊断与治疗。方法回顾分析了46例老年左半结肠癌并肠梗阻的住院病例。结果38例急诊手术,8例择期手术。其中29例行Ⅰ期切除吻合;7例行Hartmann术;2例行横结肠双腔造瘘。Ⅰ期切除吻合者中,3例出现吻合口瘘,1例死亡。结论在加强围手术期处理,术中充分灌洗的前提下,对部分老年性肠癌并梗阻行Ⅰ期吻合是可行的。
Objective To investigate the diagnosis and treatment of senile colorectal cancer with obstruction. Methods A retrospective analysis of 46 cases of elderly patients with left colon cancer and intestinal obstruction in hospital cases. Results 38 cases of emergency surgery, 8 cases of elective surgery. Among them, 29 cases underwent stage Ⅰ resection and anastomosis; 7 cases underwent Hartmann’s surgery; and 2 cases underwent transverse colon double-chamber ostomy. In stage Ⅰ resection and anastomosis, anastomotic leakage was found in 3 cases and death in 1 case. Conclusion It is feasible to perform stage Ⅰ anastomosis on some senile colorectal cancer with obstruction under the precondition of strengthening perioperative management and adequate lavage during operation.