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目的:探讨老年人左半结肠癌性梗阻有关诊疗问题。方法:回顾性分析苏州大学附属第一医院2003-11/2008-11收治的24例左半结肠癌性梗阻老年患者临床资料。结果:24例均急诊手术,Ⅰ期肠切除吻合术14例,Ⅱ期手术6例,Hartmann术2例,肠捷径术1例,单纯造口术1例。术后死亡1例,其余顺利出院。随访1~6 a后,复发2例,死亡3例。结论:老年人左半结肠癌性梗阻时病情复杂,需加强围手术期处理,争取Ⅰ期切除,手术方式要合理安全。
Objective: To investigate the diagnosis and treatment of left-sided colon cancer obstruction in the elderly. Methods: The clinical data of 24 elderly patients with left colon cancer obstruction admitted to the First Affiliated Hospital of Soochow University between November 2003 and November 2008 were retrospectively analyzed. Results: Twenty - four patients underwent emergency surgery, 14 patients underwent stage Ⅰ intestine resection and anastomosis, 6 patients underwent stage Ⅱ operation, 2 Hartmann ’s surgery, 1 bowel shortcut and 1 simple ostomy. One patient died after operation and the rest were discharged smoothly. After 1 to 6 years of follow-up, 2 cases were relapsed and 3 died. Conclusions: The condition of the left colon cancer obstruction in the elderly is complex. It is necessary to strengthen the perioperative management and strive for stage Ⅰ resection. The operation method should be reasonable and safe.