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目的 :探讨老年人梗阻性结肠癌的手术治疗方法。方法 :3 0例老年梗阻性结肠癌手术治疗中 ,Ⅰ期手术切除吻合 2 8例 ,Hartmann手术 1例 ,姑息性手术 1例。结果 :Ⅰ期手术 2 8例中 2 7例治愈出院 ,1例术后死于肺部感染 ,Hartmann手术 1例治愈出院。姑息性手术 1例 ,解除梗阻出院。结论 :老年病人虽然病情重 ,合并症多 ,耐受力差 ,但只要手术及时 ,术式正确 ,围手术期措施得当 ,多数患者采取Ⅰ期手术效果良好 ,生活质量明显提高 ,在不得已时才采用Ⅱ期手术或姑息手术
Objective: To explore the surgical treatment of obstructive colon cancer in the elderly. Methods: Thirty-nine elderly patients with obstructive colon cancer underwent surgical resection and anastomosis in stage I of 28 cases. There was one Hartmann operation and one palliative operation. RESULTS: Twenty-seven out of 28 cases were cured and discharged from hospital. One patient died of pulmonary infection after operation. One Hartmann operation was cured and discharged. Palliative surgery was performed in one case and the obstruction was discharged. Conclusion: Although the elderly patients have serious illness, many complications, and poor tolerance, but as long as the surgery is timely, the surgical method is correct, and the perioperative period measures are appropriate, most patients will have good results with Phase I surgery, and their quality of life will be significantly improved. Stage II or palliative surgery