论文部分内容阅读
目的:对普外科结肠癌伴肠梗阻的诊治方法以及治疗效果进行观察和分析。方法:选择54例于2012年1月至2013年10月间在我院进行结肠癌伴肠梗阻治疗的患者资料进行研究和分析,对全部患者进行对症治疗,观察和分析治疗效果。结果:术后53例患者存活,1例患者死亡。2例患者出现吻合口肠外瘘,2例患者尿潴留,3例患者肺部感染,1例患者肠梗阻,2例患者肠黏连,1例患者多器官功能衰竭,并发症发生率为20.37%。经对症治疗后1例多器官功能衰竭患者死亡,其他患者康复出院。随访结果显示5例患者吻合口局部复发,4例患者肺转移,2例患者肝脏转移,3年37例患者存活。结论:对普外科结肠癌伴肠梗阻患者行手术治疗能够取得理想的治疗效果,改善和优化患者的身体素质。
Objective: To observe and analyze the diagnosis and treatment of general surgery colon cancer with intestinal obstruction. Methods: 54 cases of patients with colon cancer with intestinal obstruction in our hospital from January 2012 to October 2013 were studied and analyzed, all patients were symptomatic treatment, observation and analysis of the treatment effect. Results: 53 patients survived and 1 patient died. Two patients had anastomotic intestinal fistula, two patients with urinary retention, three patients with pulmonary infection, one patient with intestinal obstruction, two patients with intestinal adhesion, one patient with multiple organ failure, the complication rate was 20.37 %. After the symptomatic treatment of 1 case of multiple organ failure patients died, other patients were discharged. Follow-up results showed that 5 patients had anastomotic recurrence, 4 patients had lung metastases, 2 patients had liver metastases and 37 patients survived 3 years. Conclusion: Surgical treatment of general surgery colon cancer with intestinal obstruction can achieve the ideal therapeutic effect, and improve and optimize the physical fitness of patients.