摘要
目的:探讨老年患者左半结肠癌并梗阻的手术治疗方法。方法:38例老年左半结肠癌并肠梗阻患者均行急诊手术,其中29例行Ⅰ期切除吻合,7例行Hartmann术,2例行横结肠双腔造瘘。结果:37例治愈,其中2例出现吻合口漏,2次手术后痊愈;另1例吻合口漏患者病死。结论:加强围手术期处理,术中近端结肠充分灌洗,老年患者左半结肠癌并梗阻行Ⅰ期切除吻合是安全、可行的。
Objective：To investigate the diagnosis and treatment of left colon carcinoma with obstrution in elderly patient.Methods：Thirty-eight cases of colon carcinoma were retrospectively analyzed.Twenty-nine cases received radical resection and one-stage anastomosis,7 cases were undergone Hartmann operation,2 cases received bypass operation.Results：Thirty-seven cases were cured（among them,2 cases with developed anastomosis leakage received second-operation and healed）,1 case with developed anastomosis leakage and died.Conclusions：One-stage anastomosisis is safe and feasible for elderly patient who had colon cancer with obstruction,under the condition of strict perioperative treatment and enough lavage.
出处
《蚌埠医学院学报》
CAS
2011年第7期724-725,共2页
Journal of Bengbu Medical College
