论文部分内容阅读
目的:分析探讨采取Hartmann术和回肠袢式造口术对于梗阻性老年直乙状结肠患者的临床效果以及相关表现。方法:选取我院2015年01月至2016年11月收治入院的的梗阻性老年至乙状结肠患者60例,将其随机分为观察组和对照组各30例。观察组采取回肠袢式造口术进行治疗,而对照组采取Hartmann术进行治疗,通过对这两组患者的手术后情况、术后并发症以及手术期病死率进行分析,来对这两种手术方式的治疗效果以及安全性进行分析。结果:观察组其在Ⅰ期出现术后并发症的几率与对照组的患者大体一致,但是在Ⅱ期时,观察组患者出现术后并发症的几率要大幅度小于对照组的患者。结论:在进行老年梗阻性直乙状结肠癌的治疗时,运用回肠袢式造口术进行治疗,其治疗效果与运用Hartmann术进行治疗相似,但是其患者的肠道恢复速度更快,其术后的并发症也更低。
OBJECTIVE: To analyze the clinical effect of Hartmann’s surgery and ileal 袢 ostomy on obstructive sigmoid colon in elderly patients. Methods: Sixty patients with obstructive senile sigmoid colon admitted to our hospital from January 2015 to November 2016 were selected and randomly divided into observation group and control group, 30 cases each. The observation group was treated with ileal 袢 造 ostomy, while the control group was treated with Hartmann. The postoperative morbidity, postoperative complications and operative mortality were compared between the two groups Way of treatment and safety analysis. Results: The incidence of postoperative complications in the observation group was generally the same as that in the control group. However, in the second phase, the incidence of postoperative complications in the observation group was significantly less than that in the control group. CONCLUSIONS: Treatment of elderly obstructive patients with sigmoid colon cancer with ileal 袢-type ostomy for treatment is similar to treatment with Hartmann’s technique, but the patient’s bowel recovery is faster, and postoperative Complications are lower.