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老年结肠癌并肠梗阻的治疗观察

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目的分析老年结肠癌并发肠梗阻患者的手术治疗效果。方法将我院2010年1月1日-2012年6月30日收治的40例结肠癌并肠梗阻患者随机分为治疗组和对照组各20例。治疗组一期行肠道灌洗、切除吻合(不造瘘)手术;采用肠段肿瘤的根治手术。对照组一期行切除吻合手术(造瘘);二期行造瘘口回纳;根治术同治疗组。结果治疗组出院率(100%)高于对照组(85%);治疗组随访1年生存率(90%)高于对照组(60%)。治疗组的术后吻合口漏的几率不大。结论正确的手术方法对老年结肠癌并发肠梗阻患者有重要意义。
Objective Analysis of elderly patients with colon cancer complicated with intestinal obstruction, choosing a proper operation method, so as to improve the treatment effect. Methods In our hospital from 2010.01.01-2012.06.30, 40 cases of colon cancer with intestinal obstruction patients, randomly divided into the treatment group and control group, respectively 20 cases. Patients in the treatment group were intestinal lavage, in one stage resection and anastomosis(no fistula operation); the intestinal tumor radical operation. Patients in the control group during a period of resection and anastomosis operation(fistula); for the stoma returning in the two period; radical operation and treatment group. Results Two groups of patients discharge rate and follow-up one year survival rate between the discharge rate: treatment group(100%) than the discharge rate of control group(85%) is higher; the treatment group were followed up for 1 year survival rate(90%) than in the control group(60%) was significantly higher in. Little probability of anastomotic leakage after operation in the treatment group. Conclusion Elderly patients with colon cancer complicated with intestinal obstruction, choosing a proper operation method, so as to improve the therapeutic effect;mortality; complication.

Colon cancerIntestinal obstructionResection and anastomosis

周晓刚、陈宁波

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610072 成都,四川省人民医院普外科

结肠癌 肠梗阻 切除吻合

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(7)
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