摘要
目的：探讨老年结、直肠癌性梗阻的临床特点及诊治。方法：回顾我院自１９９１ 年１ 月至１９９８ 年１２ 月收治的６３ 例病例，结合国内外文献加以分析。结果：６３ 例均经手术治疗，痊愈６１例，死亡２ 例，病死率３－２ ％ 。结论：老年结直肠癌性梗阻患者，多数病程长，合并症多，误诊率高，治疗难度大。手术应以一期切除肿瘤为主。一般情况差的行Ｈａｒｔｍａｎｎ 术式更为有利。
OBJECTIVE:To study the clinical charater, diagnosis and treatment of large intestinal obstruction caused by colorectal carcinoma on elderly patients. METHOD:63 cases in our hospital from January,1991 to December,1998 were analyzed retrospectively with a review of recent domestic and foreign literatures.RESULTS:All 64 cases underwent surgical operations.61 cases cured. Only 2 cases died,and the mortality rate was 3.2%.CONCLUSION:Most of the elderly patients whose large intestinal obstruction caused by colorectal carcinoma have a long disease course,high incidence of complication and high rate of misdiagnosis Tumor remoral should be the first choice even difficulty may encounter.Those who were in poor health and with more complications were fit to Hartmanns′ operation.
出处
《九江医学》
1999年第4期204-206,共3页
Jiujiang Medical Journal
关键词
直肠癌
肠梗阻
合并症
治疗
结肠癌
外科手术
colorectal carcinoma
intestinal obstruction
complication
surgical intervention
