Analysis of the Application Effects and Prognostic Factors of Surgery and Conservative Treat-ment in Elderly Patients with Malignant Tumor-Related Acute Intestinal Obstruction
[Objective]To investigate the effects of surgery and conservative treatment in elderly patients with malignant tumor-related acute intestinal obstruction and to analyze the factors influencing prognosis.[Methods]A retrospective analysis was conducted on the medical records of 96 elderly patients with acute in-testinal obstruction admitted to our hospital.Among them,71 patients were treated with bowel resection and anastomosis,stoma creation,or bowel exteriorization based on their condition,while 25 patients received con-servative treatment such as gastrointestinal decompression.The patients were divided into a good prognosis group(79 cases)and a poor prognosis group(17 cases)based on the prognosis two months after treatment.The factors influencing prognosis were analyzed.[Results]The treatment success rate was 94.37％(67/71)in the surgery group,which was higher than the 48.00％(12/25)in the non-surgery group(P＜0.05).There was no statistically significant difference in the overall incidence of postoperative complications between the two groups(P＞0.05).The poor prognosis group had higher proportions of pathological stage Ⅲ,low differ-entiation of tumors,and older age compared to the good prognosis group(P＜0.05).Logistic multivariate re-gression analysis showed that age,pathological stage,and tumor differentiation degree were factors influen-cing prognosis(P＜0.05).[Conclusion]Compared to non-surgical treatment,surgical treatment is more ef-fective in alleviating symptoms of intestinal obstruction in elderly patients with malignant tumor-related acute intestinal obstruction.Factors such as patient age,pathological stage,and tumor differentiation degree can in-fluence prognosis.
万方数据
维普
