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目的观察并研究结肠癌致肠梗阻病人共计54例进行临床治疗的疗效。方法以手术切除为主,综合治疗结肠癌致肠梗阻患者。研究结肠癌的病理类型与结肠癌致梗阻手术后死亡和存活关系、结肠癌行手术治疗患者的Dukes分期与预后的结果以及结肠癌致肠梗阻手术治疗患者随时间的存活的人数。结果 54例患者,死亡6例。54例患者中,以低分化腺癌患者的术后死亡率较高。癌细胞的分化程度越高,其死亡率越低。二者呈现反比。Dukes分期的A期的疗效优于B期的疗效。随着时间的延长,手术治疗的存活人数占总人数的88.9%。结论在条件允许的情况下,老年结肠癌并肠梗阻的手术治疗应及时进行,必须根据病人的具体情况选择合理的手术方式,并加强围术期处理,以保证手术成功。但是若已经处于Dukes B期且癌细胞有转移的患者考虑不进行手术治疗或者行单纯造瘘。
Objective To observe and study the efficacy of clinical treatment of 54 patients with intestinal obstruction due to colon cancer. Methods Surgical resection-based treatment of colon cancer caused by intestinal obstruction in patients. To investigate the relationship between the pathological type of colon cancer and postoperative death and survival after colon cancer surgery, the Dukes staging and prognosis of patients undergoing surgery for colon cancer and the number of patients surviving colon surgery with intestinal obstruction. Results 54 patients, 6 patients died. Of the 54 patients, patients with poorly differentiated adenocarcinomas had a higher postoperative mortality rate. The higher the degree of differentiation of cancer cells, the lower the mortality rate. The two are inversely proportional. Stage A Dukes staging is better than stage B curative effect. With the extension of time, surgical treatment of the number of survivors accounted for 88.9% of the total number. Conclusion When the conditions permit, surgical treatment of colon cancer and intestinal obstruction in elderly patients should be promptly carried out. The reasonable operation mode must be selected according to the patients’ specific conditions and the perioperative management should be strengthened to ensure the successful operation. However, if the patient is already in Dukes B stage and the cancer cells have metastases, he or she should consider no surgical treatment or simple fistula.