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目的:探讨老年大肠癌合并肠梗阻外科诊治的有关问题。方法:回顾性分析收治的60例老年大肠癌合并肠梗阻患者的外科治疗资料。结果:60例患者,Ⅰ期右伴结肠切除22例,均Ⅰ期吻合,并发肠瘘2例;Ⅰ期左半结肠切除32例,Ⅰ期吻合15例,并发肠瘘2例,单纯性肠造瘘Ⅱ期手术肠切除3例;肿瘤无法切除行肠造瘘或捷径手术6例。围手术期死亡3例,病死率为5.0%。结论:外科手术是大肠癌合并肠梗阻患者的主要治疗方法,年龄的大小不是手术的禁忌证,早期诊断、早期治疗、术前、术后合理处理并发症、选择适当的术式是提高疗效的关键。
Objective: To investigate the problems related to the surgical diagnosis and treatment of senile colorectal cancer with intestinal obstruction. Methods: A retrospective analysis of 60 cases of elderly patients with colorectal cancer with intestinal obstruction surgical treatment of information. Results: In the 60 cases, 22 cases were resected in stage Ⅰ with right colonic resection, all of them were stage Ⅰ anastomosis with 2 cases of intestinal fistula. Stage Ⅰ left half colon resection in 32 cases, stage Ⅰ anastomosis in 15 cases, complicated with intestinal fistula in 2 cases, simple intestine 3 cases of ostomy Ⅱ surgery; intestinal resection can not be performed or 6 cases of short-cut surgery. Perioperative death in 3 cases, the fatality rate was 5.0%. Conclusion: Surgery is the main treatment for patients with colorectal cancer and intestinal obstruction. The age is not a contraindication for surgery, early diagnosis, early treatment, preoperative and postoperative rational management of complications, select the appropriate surgical procedure is to improve the efficacy The essential.