摘要
目的探讨老年人结肠癌并急性梗阻的诊断与治疗。方法回顾性分析2002年至2005年38例60岁以上结肠癌并急性梗阻病人的外科治疗资料。结果38例中Ⅰ期切除26例，Ⅱ期切除7例，捷径手术5例38例中有伴发病者32例，占84．2％，术后并发症发生率高达52．7％，手术死亡率为10．5％。结论手术切除是高龄结肠癌病人最好治疗方法，应早期诊断，早期治疗，合理处理并存病。充分的肠道准备，适当的麻醉和手术方式，有效的预防和治疗并发症是提高疗效的关键。
Objective To explore appropriate diagnosis and treatment methods for aged colonic cancer patients complicated with obstruction. Methods Surgical records of 38 obstruction complicated colonic cancer patients aged 60 years or older were retrospectively analyzed. Results Among the 38 patients, primary excision was done in 26 patients, secondary excision in 7, short-cut operation in 5 ; concomitant diseases were found in 32 patients （84.2%）, postoperative complications in 52.7% patients; operation related mortality was 10.5%. Conclusions Operative excision is the best treatment for aged colonic cancer patients. Early diagnosis and treatment, appropriate management of concomitant diseases, sufficient intestinal preoperative preparation, reasonable choices of anaesthetic and operative methods are the key to effective prevention and treatment of postoperative complications.
出处
《国际外科学杂志》
2007年第11期734-736,共3页
International Journal of Surgery
关键词
老年
结肠癌
肠梗阻
外科治疗
the aged
colonic cancer
intestinal obstruction
surgery
