摘要
目的探讨老年结肠癌引起急性肠梗阻的围手术期处理方案,分析不同方案的治疗效果。方法选取住院治疗的老年结肠癌引发急性肠梗阻患者78例病历资料,分析不同治疗方案的临床转归及并发症。结果右半结肠切除术、右半结肠及横结肠切除术、横结肠切除术并发症发生率分别为26.7%、27.2%和30.0%,组间比较无显著差异(P>0.05)。左半结肠切除I期吻合术与左半结肠切除、近端造瘘Ⅱ期肿瘤切除吻合术的并发症发生率分别为28.1%、30.0%,左半结肠Ⅰ期、Ⅱ期手术并发症发生率无显著差异(P>0.05)。右半结肠I期切除、左半结肠I期切除与左半结肠切除、近端造瘘,Ⅱ期肿瘤切除吻合术后复发、转移率,1年死亡率无显著差异(P>0.05)。结论围手术期合理选择治疗方案,老年左半结肠癌患者可耐受I期切除吻合术,而且不增加术后并发症的发生和近期死亡率。
Objective To investigate the curative effect of peri-operative management of colon cancer associated with intestinal obstruction in elder patients. Methods 78 patients with colon cancer associated with intestinal obstruction were retrospectively studied. The curative effect of different treatment strategies was analyzed. Results The complications of right hemicolectomy, the right colon and transverse colon resection and the transerse colectomy were 26.7%, 27. 2% and 30. 0%, respectively. The complication of left half colon resection for stage I anastomosis and stage I colosto- my,stage II tumor resection were 28.1%, 30.0% respectively. The difference were not obvious （P〉0.05）. The recur- rence rate, metastasis rate and survival rate of colon resection between stage I anastomosis and stage I colostomy, stage II tumor resection were not obvious（P〉0.05）. Conclusion Acute intestinal obstruction caused by colon cancer in elder patients could underwent stage I tumor resection and anastomosis in the first place. It would not increase the risk of com- plications and death rate.
出处
《西部医学》
2015年第1期105-107,共3页
Medical Journal of West China
关键词
老年
结肠癌
肠梗阻
围手术期
Elder
Colon cancer
Intestinal obstruction
Peri-operative
