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目的分析老年结肠癌并发肠梗阻患者的手术治疗效果。方法将我院2010年1月1日-2012年6月30日收治的40例结肠癌并肠梗阻患者随机分为治疗组和对照组各20例。治疗组一期行肠道灌洗、切除吻合(不造瘘)手术;采用肠段肿瘤的根治手术。对照组一期行切除吻合手术(造瘘);二期行造瘘口回纳;根治术同治疗组。结果治疗组出院率(100%)高于对照组(85%);治疗组随访1年生存率(90%)高于对照组(60%)。治疗组的术后吻合口漏的几率不大。结论正确的手术方法对老年结肠癌并发肠梗阻患者有重要意义。
Objective To analyze the surgical treatment of senile colon cancer with intestinal obstruction. Methods Forty patients with colon cancer and intestinal obstruction admitted from January 1, 2010 to June 30, 2012 in our hospital were randomly divided into treatment group (20 cases) and control group (20 cases). The treatment group was treated with intestinal lavage and resection and anastomosis (without fistula). The radical operation of intestinal tumor was used. In the control group, the patients underwent resection and anastomosis (fistula) in the first stage; the second stage was treated with the fistula; the radical operation was the same as the treatment group. Results The discharge rate (100%) in the treatment group was higher than that in the control group (85%). The 1-year follow-up survival rate (90%) in the treatment group was higher than that in the control group (60%). The incidence of anastomotic leakage in the treatment group was insignificant. Conclusion The correct surgical method is of great significance to elderly patients with colon cancer complicated with intestinal obstruction.