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目的研究结肠癌合并肠梗阻手术治疗效果。方法将我院收治的40例结肠癌合并肠梗阻患者的临床资料进分析,研究患者术中、术后心理特点以及引起并发症原因,采用对应治疗以及个性化护理,保证所有患者均得到科学化治疗;并比较患者术前、术后生存质量。结果本组结肠癌合并肠梗阻患者经手术治疗后,因全身多脏器功能衰竭,死亡2例;术后共发生并发症12例(30%),包括:切口开裂2例,肺部感染2例,切口感染5例,尿路感染2例,结肠造瘘口脱垂1例。采用抗感染类药物、重新缝合等对症治疗措施,并发症均得到有效治愈。患者治疗后较治疗前,生存质量显著提高(P<0.01)。结论结肠癌合并肠梗阻术后容易引起各种并发症,应根据患者全身情况与梗阻近端肠管病理情况对症治疗,术后加强观察与心理护理,不仅取得满意疗效,更提高患者生存质量。
Objective To study the surgical treatment of colon cancer with intestinal obstruction. Methods The clinical data of 40 patients with colon cancer and intestinal obstruction admitted to our hospital were analyzed. The intraoperative and postoperative psychological characteristics and causes of complications were analyzed. Corresponding treatment and individualized nursing were adopted to ensure that all patients were scientifically Treatment; and compare the preoperative and postoperative quality of life. Results The patients with colon cancer and intestinal obstruction after operation were killed in 2 cases due to systemic multiple organ failure. Complications occurred in 12 patients (30%), including 2 cases of incision rupture and 2 cases of lung infection Cases, incision infection in 5 cases, 2 cases of urinary tract infection, colonostomy port prolapse in 1 case. The use of anti-infective drugs, re-suture and other symptomatic treatment measures, complications have been effectively cured. Before treatment, the quality of life of patients was significantly improved (P <0.01). Conclusions Colonic cancer with intestinal obstruction easily lead to various complications. According to the general condition of the patients and symptomatic treatment of pathological conditions of proximal bowel obstruction, postoperative intensive observation and psychological nursing should not only achieve satisfactory curative effect, but also improve patients’ quality of life.