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目的:分析老年人和成年人急性肠梗阻的病因及治疗效果。方法:回顾分析我院自2000年1月～2004年12月收治的急性肠梗阻160例。年龄大于等于60岁的为老年组,年龄小于60岁的为成年组。结果:160例中老年组95例.成年组65例。全组共有结直肠肿瘤66例,肠粘连43例,其他肿瘤腹腔广泛转移12例.乙状结肠扭转8例,斜疝9例,原因不明8例以及其他原因14例。肿瘤患者在老年组中占43.2%(43/95),成年组中56.8%(36/65)差异无显著性(P>0.05);肠粘连老年组中占32%(30/90)成年组中占21.5%(64/65)差异无显若差异性(P>0.05);乙状结肠扭转老年中占2.7%,成年组中占10.3%,差异有显著性(P<0.05);肿瘤患者中,老年组有80%接受了手术,成年组(93.4%)接受了手术,差异有显著性(P<0.05),老年组和成年组结直肠肿瘤的切除率分别为51%和53.8%差异无显著性(P>0.05),全组死亡8例,老年组病死率6.75%.(7/95)成年组为1.25%(3/65),差异有显著性(P<0.05)。结论:(1)肿瘤是肠梗阻的主要原因:(2)结肠癌致急性肠阻者手术(切除)率超过50%;(3)老年组的病死率明显高于成年组。
Objective: To analyze the etiology and therapeutic effect of acute intestinal obstruction in the elderly and adults. Methods: A retrospective analysis of 160 cases of acute intestinal obstruction admitted to our hospital from January 2000 to December 2004. The age group is 60 years old or older, while the age group is younger than 60 years old. Results: There were 95 cases in 160 middle-aged and elderly patients and 65 cases in adult group. There were 66 cases of colorectal tumor, 43 cases of intestinal adhesion and 12 cases of other tumors metastasized extensively in abdominal cavity, 8 cases of sigmoid colon torsion, 9 cases of oblique hernia, 8 cases of unknown cause and 14 cases of other reasons. The tumor patients accounted for 43.2% (43/95) in the elderly group, while 56.8% (36/65) in the adult group had no significant difference (P> 0.05). The 32% (30/90) adult group (P <0.05). The sigmoid colon accounted for 2.7% of old people and 10.3% of adult patients (P <0.05). Among the cancer patients, Eighty percent of the elderly patients underwent surgery. The adult group (93.4%) underwent surgery, the difference was significant (P <0.05). There was no significant difference in the resection rates between the elderly and adult patients (51% and 53.8%, respectively) (P> 0.05), 8 cases died in the whole group, and the death rate in the elderly group was 6.75%. (7/95) The adult group was 1.25% (3/65), the difference was significant (P <0.05). Conclusions: (1) Tumor is the main cause of intestinal obstruction. (2) The rate of surgery (resection) of colon cancer caused by acute intestinal obstruction exceeds 50%. (3) The mortality of elderly group is obviously higher than that of adult group.