论文部分内容阅读
目的对比分析老年结肠癌并肠梗阻限期手术与急诊手术的临床疗效,总结其临床价值。方法选取我院2006年11月-2011年11月32例老年结肠癌并肠梗阻的患者,其中限期手术组有19例,急诊手术组有13例,观察比较两组治疗效果,进行统计学分析。结果两组患者Ⅰ期切除的吻合率、切口感染的发生率、病死率、肺部感染的发生率、急诊手术术后吻合口瘘的发生率比较存在显著差异(P<0.05),具有统计学意义。结论对老年结肠癌并肠梗阻患者实施急诊手术的远期疗效欠佳,并发症较多,经保守治疗后做好充分的肠道准备及术前准备,再行手术治疗的效果显著,能有效提高治愈率,减少肺部感染的发生率及病死率,安全性提高,具有重要的临床意义。
Objective To compare and analyze the clinical efficacy of limited-term surgery and emergency surgery for senile colon cancer with intestinal obstruction and to summarize its clinical value. Methods Thirty-two elderly patients with colon cancer and intestinal obstruction in our hospital from November 2006 to November 2011 were selected. Among them, there were 19 patients in the limited operation group and 13 patients in the emergency operation group. The therapeutic effects were compared between the two groups for statistical analysis . Results There was significant difference (P <0.05) in the rate of incision infection, the incidence of incisional infection, the incidence of incision infection, the incidence of pulmonary infection and the incidence of anastomotic fistula after emergency operation in both groups significance. Conclusions The long-term curative effect of emergency surgery for elderly patients with colon and intestinal obstruction is poor with more complications. After conservative treatment, adequate gut preparation and preoperative preparation are available, and the effect of reoperation is significant and effective Improve the cure rate, reduce the incidence of pulmonary infection and mortality, increased safety, has important clinical significance.