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目的研究结直肠癌致老年急性肠梗阻经过不同手术方法治疗的临床效果。方法 56例结直肠癌致老年急性肠梗阻的患者,32例行急诊手术,24例选择最有利的时机施行手术(择期手术),20例行Ⅰ期肿瘤切除肠吻合术,19例采用Ⅱ期肿瘤切除肠吻合术,17例行肠造瘘术。分析比较术后患者情况以及并发症情况。结果 56例患者中,有54例(96.4%)均有所好转,死亡2例(3.6%)。行择期手术后并发症发生率为4.1%,显著低于急诊手术后的28.1%,差异有统计学意义(P<0.05)。行Ⅰ期肿瘤切除肠吻合术并发症发生率为35.0%,显著高于Ⅱ期肿瘤切除肠吻合术的5.3%及肠造瘘术的5.8%,差异有统计学意义(P<0.05)。结论结直肠癌致老年急性肠梗阻患者根据自身情况选择有利的时机施行手术可有效提高治疗效果,使患者的生活质量得到改善,临床上值得推广。
Objective To study the clinical effect of different surgical methods for the treatment of acute intestinal obstruction in elderly patients with colorectal cancer. Methods Fifty-six patients with acute intestinal obstruction caused by colorectal cancer were enrolled in this study. Twenty-two patients underwent emergency surgery and 24 patients underwent surgery (elective surgery) at the most favorable time. Twenty patients underwent stage I tumor resection anastomosis and 19 patients underwent stage II Tumor resection of intestinal anastomosis, 17 cases of intestinal fistulation. Analysis and comparison of postoperative patients and complications. Results Of the 56 patients, 54 (96.4%) improved and 2 died (3.6%). The incidence of complications after elective surgery was 4.1%, significantly lower than 28.1% after emergency surgery, the difference was statistically significant (P <0.05). The incidence of tumor resection anastomosis was 35.0% in stage Ⅰ, which was significantly higher than 5.3% in stage Ⅱ resection enterostomy and 5.8% in enterostomy, the difference was statistically significant (P <0.05). Conclusion Colorectal cancer patients with acute intestinal obstruction in accordance with their own circumstances choose the favorable timing of surgery can effectively improve the treatment effect, so that patients with improved quality of life, clinically worth promoting.