摘要
目的探讨高龄大肠癌致肠梗阻患者的手术治疗效果。方法回顾性分析19例大肠癌致肠梗阻高龄患者外科手术治疗的临床资料,总结治疗情况和并发症发生率。结果所有升结肠癌和横结肠癌患者均采用一期切除吻合术,大多数乙状结肠癌和降结肠癌患者采用Hatmann手术,其它采用一期切除吻合术和结肠造瘘术,直肠癌患者1例(5.3%)采用一期切除吻合术,1例(5.3%)Hatmann手术,另有1例(5.3%)行乙状结肠双腔造口术;术后1例(5.%)切口感染,1例(5.%)吻合口瘘。结论提高对高龄大肠癌致肠梗阻的认知,选择好手术时机和方式,有助于减少并发症。
Objective To explore the scientific clinical effects of surgical treatment of elderly patients with intestinal obstruction caused by colon carcinoma. Methods A retrospective analysis of the clinical data of 19 cases elderly patients with surgical operation intestinal obstruction caused by colorectal carcinoma in our hospital from May 2008 to May2013 was conducted and the treatment and complication rate were evaluated. Findings All ascending colon and transverse colon cancer patients underwent one stage resection and anastomosis. The majority of sigmoid colon and descending colon cancer were treated by Hatmanu operation. The other with one - stage resection and anastomosis or colostomy. 1 cases of rectal cancer patients （5.3%） with one stage resection and anastomosis, 1 cases （5.3%） of Hatmann operation, otherwise,1 cases （5.3%） underwent sigmoid colon double cavity stoma surgery; 1 cases of postoperative incision infection （5%）, 1 cases （5%） of anastomotic fistula. Conclusion Scientific knowledge of intestinal obstruction caused by colorectal cancer in elderly patients, proper timing and method of operation are critical in reducing complications.
出处
《健康研究》
CAS
2014年第2期158-160,共3页
Health Research
关键词
肠梗阻
高龄
手术治疗
intestinal obstruction
elderly patients
surgical treatment
