摘要
目的探讨对大肠癌并发肠梗阻患者实施Ⅰ期手术治疗的临床效果。方法选取2013年2月至2015年2月阜新市中心医院收治的大肠癌并发肠梗阻患者58例为研究对象。均实施Ⅰ期手术治疗,比较不同手术类型患者的生存率,并分析患者的不良反应发生情况。结果左半结肠Ⅰ期切除吻合术及直肠Melis术患者的3年生存率均明显高于右半结肠Ⅰ期切除吻合术组,差异均有统计学意义(均P<0.05);58例患者均成功接受Ⅰ期手术,手术伤口均为Ⅰ期愈合,未出现吻合口瘘等临床并发症;其中,4例患者出现伤口感染,1例患者出现肠黏连,不良反应发生率为8.6%(5/58)。结论Ⅰ期手术选择正确的术式治疗大肠癌并发肠梗阻患者可获得满意疗效,提高患者的生存率。
Objective To investigate the clinical effect of the treatment of patients with colorectal carcinoma complicated with intestinal obstruction.Methods From February 2013 to February 2015,58 patients with colorectal carcinoma complicated with intestinal obstruction were selected,and the survival rate of patients with different operation types were compared.Results Left half colon phase Ⅰ excision anastomosis and rectal Melis et al.18 patients 3 years survival rates were significantly higher than that of phase Ⅰ of the right colon resection and primary anastomosis group,differences were statistical y significant（P＆lt;0.05）;58 patients were successful y performed one-stage surgery and surgical wounds were healed and no kiss clinical anastomotic leakage and other complications;among them,4 cases had wound infection,1 cases of patients with intestinal adhesion,adverse reactions occurred rate was 8.6%（5/58）.Conclusion One stage surgical treatment of colorectal carcinoma with intestinal obstruction can obtain satisfactory effect and improve the survival rate of patients with colorectal carcinoma.
出处
《中国药物经济学》
2015年第11期81-82,共2页
China Journal of Pharmaceutical Economics
关键词
大肠癌
肠梗阻
Ⅰ期手术
效果
Colorectal cancer
Intestinal obstruction
A surgery
The effect
