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目的:探讨老年结直肠癌并发急性肠梗阻的外科处理方法。方法:回顾性分析1995～2005年间58例老年结直肠癌并发急性肠梗阻的临床资料,评价其外科处理方法。结果:58例均在入院后8h～5d内进行手术。6例绞窄性肠梗阻中仅3例术前确诊,符合率为50%(3/6),肿瘤切除率为68.9%(40/58),术后并发症发生率为36.2%(21/58),病死率为10.3%(6/58)。结论:对老年结直肠癌并发急性肠梗阻的患者应警惕肠绞痄的发生,积极处理并发症,合理选择手术方式,有效地预防和治疗术后并发症是提高疗效的关键。
Objective: To investigate the surgical treatment of senile colorectal cancer with acute intestinal obstruction. Methods: A retrospective analysis of clinical data of 58 elderly patients with colorectal cancer complicated with acute intestinal obstruction during 1995 to 2005 was performed to evaluate the surgical treatment. Results: All the 58 cases were operated within 8h ~ 5d after admission. Only 3 of 6 cases of strangulated intestinal obstruction were diagnosed preoperatively, the coincidence rate was 50% (3/6), the tumor resection rate was 68.9% (40/58) and the postoperative complication rate was 36.2% (21 / 58) with a case fatality rate of 10.3% (6/58). Conclusion: It is necessary to guard against the incidence of intestinal skewness in patients with senile colorectal cancer complicated by acute intestinal obstruction. Proactive treatment of complications and reasonable choice of surgical methods. Effective prevention and treatment of postoperative complications is the key to improve the curative effect.