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目的探讨梗阻性大肠癌患者外科手术治疗措施及效果。方法选取2014年11月至2016年11月抚顺市第四医院收治的梗阻性大肠癌患者56例为研究对象,所有患者均符合梗阻性大肠癌的诊断标准,并经X线、CT、磁共振成像(MRI)、直肠镜等检查确诊。患者入院后均给予积极检查和保守治疗,明确判断病情后,选择针对性的手术治疗,分析治疗效果。结果本组56例患者中,38例实施根治术,10例实施短路术,8例实施造瘘术。所有患者均顺利完成手术,55例患者术后症状明显改善,改善率为98.2%;1例患者因术后感染引发多器官功能受损及中毒性休克而死亡,病死率为1.8%;本组患者平均手术时间为(74.8±2.0)min;术后出现1例腹腔感染,1例切口感染,1例吻合口瘘,并发症发生率为5.4%,均经对症处理后症状消失,无1例患者出现严重并发症。结论临床治疗梗阻性大肠癌患者时,需根据患者的具体情况,完善相关检查,选择恰当的手术方式及手术时间,制订科学合理的手术方案,以改善患者的临床症状,降低病死率。
Objective To investigate the surgical treatment of obstructive colorectal cancer patients and its effects. Methods Fifty-six patients with obstructive colorectal cancer admitted to the Fourth Hospital of Fushun from November 2014 to November 2016 were enrolled in this study. All patients met the diagnostic criteria of obstructive colorectal cancer and were confirmed by X-ray, CT, magnetic resonance Imaging (MRI), colonoscopy and other tests confirmed. After admission, patients were given a positive examination and conservative treatment, a clear judgment of the disease, the choice of targeted surgical treatment, analysis of treatment. Results Of the 56 patients in this study, 38 underwent radical mastectomy, 10 underwent short-circuit surgery, and 8 underwent ostomy. All patients were successfully completed surgery, 55 patients showed significantly improved postoperative symptoms, the improvement rate was 98.2%; 1 patient died of multiple organ dysfunction and toxic shock caused by postoperative infection, the mortality rate was 1.8%; this group The mean operative time was (74.8 ± 2.0) min. One case of abdominal infection, one case of incision infection and one case of anastomotic fistula occurred after operation. The incidence of complication was 5.4% Patients have serious complications. Conclusion In the clinical treatment of patients with obstructive colorectal cancer, according to the specific conditions of patients, we must improve the relevant examination, select the appropriate surgical methods and operation time, and develop a scientific and rational surgical plan to improve the clinical symptoms and reduce the mortality.