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目的:观察探讨老年结肠癌性梗阻的临床特点及诊治方法,总结其临床疗效及临床意义。方法:选取我院2009年5月至2011年5月38例年龄在60岁以上的结肠癌性梗阻的患者,对其临床诊治资料进行回顾性分析。结果:38例患者经治疗后显效20例,有效12例,无效6例,死亡3例,总有效率84.21%。其中I期肿瘤切除吻合有22例,I期肿瘤切除造瘘有8例,II期手术还纳有8例,单纯捷径或造口手术有3例,自动放弃手术有2例。结论:对于老年结肠癌梗阻的处理重点是合理诊治其合并症及并发症,减少误诊率和死亡率,减少患者的痛苦,提高患者的生活质量,具有重要的临床意义。
Objective: To observe the clinical features, diagnosis, and treatment of colon cancer in the elderly, and to summarize its clinical efficacy and clinical significance. METHODS: From March 2009 to May 2011, 38 patients with colonic obstruction aged 60 years or older were selected from our hospital for retrospective analysis of clinical diagnosis and treatment data. RESULTS: After treatment, 38 patients had markedly effective in 20 cases, effective in 12 cases, invalid in 6 cases, and dead in 3 cases. The total effective rate was 84.21%. There were 22 cases of stage I tumor resection and anastomosis, 8 cases of stage I tumor resection and fistula, 8 cases of stage II surgery, 3 cases of simple shortcut or ostomy surgery, and 2 cases of automatic relinquishment. Conclusion: The treatment of obstruction of colon cancer in the elderly focuses on the diagnosis and treatment of complications and complications, reducing the rate of misdiagnosis and mortality, reducing the suffering of patients, and improving the quality of life of patients. It has important clinical significance.