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目的:分析老年梗阻性结肠癌患者的临床特点及手术治疗效果。方法:选取广东省工人医院2015年5月至2016年6月收治的58例老年梗阻性结肠癌患者。随机分成对照组和观察组,各29例。术前对58例患者进行营养支持,积极治疗并发症。包括32例患者需要进行I期结肠癌切除手术,其中右半结肠切除24例,左半结肠切除8例,采取单纯结肠造瘘术10例,16例进行分期手术。结果:58例患者的手术时间是1.5~4 h,平均时间(2.41±0.35)h,病情好转出院的患者56例,住院时间9~20 d,平均时间(16.21±4.58)d,因感染性休克或呼吸衰竭导致死亡2例。结论:老年梗阻性结肠癌具有其临床特点,观察组的治疗总有效率明显优于对照组的治疗总有效率,差异具有统计学意义(P<0.05)并需要注意围手术期的处理,及时安排手术,减少并发症出现的概率,以此降低老年梗阻性结肠癌患者的死亡率。
Objective: To analyze the clinical features and surgical treatment of elderly patients with obstructive colon cancer. Methods: Fifty-eight elderly patients with obstructive colon cancer from May 2015 to June 2016 in Guangdong Provincial Workers’ Hospital were selected. Randomly divided into control group and observation group, each 29 cases. Preoperative nutrition support for 58 patients, active treatment of complications. Including 32 patients required for stage I resection of colon cancer, including 24 cases of right colon resection, left colon resection in 8 cases, to take simple colostomy in 10 cases, 16 cases were staged surgery. Results: The operation time of 58 patients was 1.5 ~ 4 h with a mean time of (2.41 ± 0.35) h. Out of 56 patients whose condition improved after discharge, the hospitalization time was 9 to 20 days, the average time was (16.21 ± 4.58) d, Two patients died of shock or respiratory failure. Conclusion: Obstructive colon cancer in elderly patients has its clinical features. The total effective rate in the observation group is significantly better than that in the control group (P <0.05), and needs to pay attention to the perioperative management and timely Surgery is scheduled to reduce the likelihood of complications, thereby reducing mortality in elderly patients with obstructive colon cancer.