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目的探讨老年结直肠癌并发急性肠梗阻的特点、外科围手术期处理及手术治疗。方法回顾性分析2000年1月至2011年4月34例60岁以上结直肠癌并发急性肠梗阻并经手术治疗患者的临床资料。结果 34例患者中,术后出现并发症16例,并发症发生率47.1%,其中切口感染9例,腹腔感染1例,肺部感染4例,吻合口瘘1例。术后死亡1例,病死率2.9%。33例急性肠梗阻治愈出院。结论在对老年结直肠癌并发急性肠梗阻疾病特点充分认识的基础上,恰当的围手术期处理,正确的手术方式选择,是改善预后、降低病死率的关键。
Objective To investigate the characteristics of elderly patients with colorectal cancer complicated with acute intestinal obstruction, perioperative surgical treatment and surgical treatment. Methods The clinical data of 34 patients with colorectal cancer over 60 years old with acute intestinal obstruction and surgically treated from January 2000 to April 2011 were retrospectively analyzed. Results Among the 34 patients, 16 cases were complicated with complications and the incidence of complications was 47.1%. There were 9 cases of incision infection, 1 case of abdominal infection, 4 cases of lung infection and 1 case of anastomotic fistula. 1 case died of postoperative death, the case fatality rate was 2.9%. 33 cases of acute intestinal obstruction cured. Conclusion Based on the full understanding of the characteristics of elderly patients with colorectal cancer complicated with acute intestinal obstruction, the proper perioperative management and correct choice of surgical procedure are the keys to improve the prognosis and reduce the mortality.