摘要
目的 探讨高龄大肠癌并急性肠梗阻的外科治疗方法。方法 回顾性分析88 例≥70 岁、确诊为大肠癌并急性肠梗阻病例临床资料。结果 Ⅰ期切除77例,占87.5%,同时Ⅰ期吻合57例,占64.8%,发生吻合口瘘6例,其他术式13例,全组死亡7例。结论 只要结合高龄大肠癌并急性肠梗阻的术前误诊率较高、晚期病例较多、并存病及术后并发症较多等特点,掌握手术适应证,重视围手术期处理,大多数病例可以选择Ⅰ期手术,及早切除原发肿瘤,对改善患者预后和提高生命质量具有极大意义。
Objective To explore the surgircal management of the elderly colorectal carcinoma with acute colon obstruction.Methods 88 cases over 70 years old diagnosed as colorectal carcinoma with colon obstruction were retrospectively analyzed.Results Among the 88 cases with acute colon obstruction,there were 77 patients(87.5%) who performed phase Ⅰ resection,57 patients(64.8%) who performed phase Ⅰ anastomosis,stoma fistula occurred in 6 cases,13 cases were treated with other methods and 7 died.Conclusions Phase Ⅰ surgery could be carried out on most patients,but due to the features like high rate of misdiagnosis,more advanced stage cases,more coexistent diseases and complications in the elderly obstructive colorectal carcinoma,the indication should be grasped strictly and the peri-operative treatment should be emphasized fully.It could have an earlier resection of the primary carcinoma and thus the patients could have a better prognosis and an improved life quality.
出处
《中国基层医药》
CAS
2005年第3期294-296,共3页
Chinese Journal of Primary Medicine and Pharmacy
