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目的 探讨高龄大肠癌并急性肠梗阻的外科治疗方法。方法 回顾性分析88 例≥70 岁、确诊为大肠癌并急性肠梗阻病例临床资料。结果 Ⅰ期切除77例,占87.5%,同时Ⅰ期吻合57例,占64.8%,发生吻合口瘘6例,其他术式13例,全组死亡7例。结论 只要结合高龄大肠癌并急性肠梗阻的术前误诊率较高、晚期病例较多、并存病及术后并发症较多等特点,掌握手术适应证,重视围手术期处理,大多数病例可以选择Ⅰ期手术,及早切除原发肿瘤,对改善患者预后和提高生命质量具有极大意义。
Objective To investigate the surgical treatment of advanced colorectal cancer with acute intestinal obstruction. Methods Retrospective analysis of 88 cases ≥70 years old, diagnosed as colorectal cancer and acute intestinal obstruction clinical data. Results 77 cases (77.5%) were treated with stage Ⅰ resection, 57 cases were anastomosed with stage Ⅰ (64.8%), 6 cases were anastomotic fistula, 13 cases were treated by other procedures, and 7 cases were died in the whole group. Conclusion As long as combined with advanced colorectal cancer and acute intestinal obstruction preoperative misdiagnosis rate is high, more advanced cases, coexisting disease and more postoperative complications, etc., to master the indications for surgery, emphasis on perioperative management, most cases can Choose Ⅰ surgery, early removal of the primary tumor, to improve the prognosis of patients and improve the quality of life of great significance.