论文部分内容阅读
目的探讨分析结肠癌的外科治疗方法,总结治疗经验。方法回顾性分析我院普外科在2005年3月至2010年5月期间的85例结肠癌患者的临床资料。结果 85例患者中73例行癌肿根治性切除,12例因广泛转移行姑息性造瘘术;2例出现吻合口漏;10例出现肠梗阻,保守治疗8例好转,另2例行肠粘连松解术,1例症状缓解,1例术后出现恶液质死亡;切口感染、切口裂开患者5例,给予长期换药或切口二次减张缝合治愈;根治性切除手术患者随访3年有12例患者复发,6例死亡;12例姑息性肠造瘘患者术后最长存活3年,最短存活4个月,平均存活1.5年。结论在治疗结肠癌患者的过程中,要早期诊断发现,根据患者病情的具体情况,采用恰当的手术方案,延长患者生存时间,降低术后复发和转移的几率;同时减少患者吻合口漏或手术切口感染等并发症的出现。
Objective To analyze the surgical treatment of colon cancer and summarize the experience of treatment. Methods The clinical data of 85 patients with colon cancer from March 2005 to May 2010 in our hospital were retrospectively analyzed. Results Of the 85 patients, 73 cases underwent radical resection of the cancer, 12 cases underwent palliative ostomy due to extensive metastasis, 2 cases had anastomotic leakage, 10 cases had intestinal obstruction, and 8 cases received conservative treatment. Adhesion lysis, 1 case of remission, 1 case of cachexia after death; incision infection, incision split in 5 patients, given long-term dressing or incision suture suture cure; radical resection patients were followed up 3 Recurrence occurred in 12 patients and in 6 patients died. The patients with palliative intestinal fistula had the longest survival after 3 years and the shortest survival for 4 months, with an average survival of 1.5 years. Conclusion In the process of treating patients with colon cancer, early diagnosis should be made. According to the specific conditions of the patients, the appropriate surgical plan should be adopted to prolong the survival time and reduce the recurrence and metastasis after operation. At the same time, it should reduce the patients’ anastomotic leakage or operation Incision infection and other complications appear.