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目的根据手术时机的选择对老年结肠癌并肠梗阻的治疗效果进行分析。方法将2006年4月至2013年10月在我院进行手术治疗的老年结肠癌并肠梗阻患者98例进行回顾性分析,对限期手术组和急诊手术组的病死率、一期切除吻合率、术后吻合口瘘率、肺部感染率、切口感染率等进行统计学分析,并对治疗效果进行比较。结果限期手术组病死率为0,急诊手术组为15.79%;限期手术组一期切除吻合率为95.00%,急诊手术组为73.68%;限期手术组术后吻合口瘘率为5.00%,急诊手术组为31.58%;限期手术组肺部感染率为1.67%,急诊手术组为23.68%;限期手术组切口感染率为3.33%,急诊手术组为26.32%,以上各指标两组比较,P<0.01,差异有显著性。结论限期手术对于老年结肠癌并肠梗阻的治疗效果优于急诊手术治疗,但手术时机的把握至关重要。
Objective According to the choice of timing of surgery on the treatment of colon cancer and intestinal obstruction effect analysis. Methods A retrospective analysis was performed on 98 elderly patients with colon cancer and intestinal obstruction who underwent surgery in our hospital from April 2006 to October 2013. The case fatality rate, Postoperative anastomotic leakage rate, lung infection rate, incision infection rate were statistically analyzed, and the treatment effect was compared. Results The mortality rate in the limited operation group was 0 and in the emergency operation group was 15.79%. The rate of primary anastomosis was 95.00% in the limited operation group and 73.68% in the emergency operation group. The rate of anastomotic leakage was 5.00% The incidence of lung infection was 1.67% in the surgery group and 23.68% in the emergency surgery group. The incidence of incision infection was 3.33% in the surgery group and 26.32% in the emergency surgery group, P <0.01 , The difference was significant. Conclusion Deadline surgery is superior to emergency surgery in the treatment of elderly patients with colon and intestinal obstruction, but the timing of the operation is crucial.