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目的探讨老年人急性左半结肠癌并肠梗阻的诊断与治疗方法。方法随机选取36例老年急性左半结肠癌并肠梗阻患者作为观察组,其中一期切除吻合27例(75%),Hartman手术2例,先行结肠造口再二期手术4例,肠捷径手术2例,结肠永久性造口1例。结果手术切除率为94.4%(34/36),死亡1例。结论对于有适应症的老年人急性左半结肠癌并肠梗阻的患者,急诊行左半结肠癌一期切除吻合是安全可行的。
Objective To investigate the diagnosis and treatment of acute left colon cancer with intestinal obstruction in the elderly. Methods Thirty-six elderly patients with acute left colon cancer and intestinal obstruction were randomly divided into observation group (27 cases, 75%), Hartman operation (2 cases) 2 cases, permanent colon 1 case. Results The surgical resection rate was 94.4% (34/36), and 1 patient died. Conclusion It is safe and feasible to perform emergency resection and anastomosis for left-sided colon cancer in patients with acute left colon cancer and intestinal obstruction in the elderly with indications.