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目的:分析临床手术治疗结肠癌合并肠梗阻的疗效。方法:回顾性分析我院收治的72例结肠癌合并肠梗阻患者的临床资料,并观察手术治疗的效果。结果:72例患者行急诊手术24例,并发症发生率37.5%,行择期手术48例,并发症发生率7.14%,急诊手术并发症发生率明显高于择期手术(P<0.05);47例左半结肠癌患者并发症发生率23.04%,25例右半结肠癌患者并发症发生率4.0%,左半结肠癌患者并发症发生率明显高于右半结肠癌患者(P<0.05)。结论:手术治疗结肠癌合并肠梗阻时应根据具体情况确定合理的手术时机及手术方式,做好并发症预防,以最大限度减少手术创伤。
Objective: To analyze the curative effect of clinical surgery on colon cancer combined with intestinal obstruction. Methods: A retrospective analysis of 72 cases of colon cancer patients with intestinal obstruction in our hospital clinical data, and to observe the effect of surgical treatment. Results: 72 patients underwent emergency surgery in 24 cases, the incidence of complications was 37.5%, 48 cases underwent elective surgery, the incidence of complications was 7.14%, the incidence of emergency surgery complications was significantly higher than elective surgery (P <0.05); 47 cases The incidence of complications in patients with left-sided colon cancer was 23.04%. The incidence of complications in 25 patients with right-sided colon cancer was 4.0%. The incidence of complications in patients with left-sided colon cancer was significantly higher than that in patients with right-sided colon cancer (P <0.05). Conclusion: Surgical treatment of colon cancer with intestinal obstruction should be based on the specific circumstances to determine a reasonable timing and operation of surgery, complications prevention, in order to minimize surgical trauma.