老年结肠癌并肠梗阻手术时机的选择及对疗效的影响

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目的探讨在老年结肠癌并肠梗阻手术治疗中时机选择对治疗效果的影响。方法 80例老年结肠癌并发肠梗阻患者均行手术治疗,随机分为观察组与对照组,每组40例。对照组行急诊手术,观察组行择期手术,观察两组患者手术及并发症情况。结果观察组术中出血量、术后下床活动时间明显低于对照组,术后生活质量评分明显高于对照组,观察组并发症发生率为5.00%,明显低于对照组25.50%,两组比较差异均具有统计学意义(P<0.05)。结论在老年结肠癌并肠梗阻手术治疗中,择期手术能有效提高治疗质量,减少并发症发生,促进患者恢复,值得临床推广运用。 Objective To investigate the effect of timing in the treatment of elderly patients with colon cancer and intestinal obstruction. Methods Eighty elderly patients with colon cancer and intestinal obstruction underwent surgery. They were randomly divided into observation group and control group, 40 cases in each group. The control group underwent emergency surgery and the observation group underwent elective surgery. The operation and complications of the two groups were observed. Results The intraoperative blood loss and ambulation time after operation in the observation group were significantly lower than those in the control group. The postoperative quality of life scores were significantly higher in the observation group than in the control group. The incidence of complications in the observation group was 5.00%, significantly lower than that in the control group (25.50% Group differences were statistically significant (P <0.05). Conclusion In elderly patients with colon cancer and intestinal obstruction surgery, elective surgery can effectively improve the quality of treatment, reduce complications and promote patient recovery, worthy of clinical promotion and use.
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