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目的探讨老年结肠癌伴急性肠梗阻围手术期的术式选择及处理。方法回顾性分析2003年1月-2008年1月收治的25例60岁以上结肠癌伴急性肠梗阻的患者临床资料。结果术前有合并症者15例,行一期切除吻合14例,其中右半结肠6例,左半结肠8例,肿瘤切除近端肠管造口远端关闭二期吻合5例,回肠横结肠侧侧吻合3例,单纯结肠造口3例。术后有11例出现不同程度的并发症,死亡2例,其余均痊愈出院。结论老年结肠癌伴梗阻的患者应认真做好围手术期的处理,根据全身情况及局部条件,慎重选择术式,方可获得满意的临床效果。
Objective To investigate the surgical selection and management of elderly patients with colon cancer and acute intestinal obstruction during the perioperative period. Methods The clinical data of 25 patients with acute intestinal obstruction who were over 60 years old with colon cancer from January 2003 to January 2008 were retrospectively analyzed. Results There were 15 cases with preoperative complications and 14 cases underwent resection and anastomosis in one stage, including 6 cases of right colon and 8 cases of left colon, 5 cases of second-stage anastomosis of distal resection of proximal bowel resection and 5 cases of lateral ileum Side anastomosis in 3 cases, simple colostomy in 3 cases. There were 11 cases of postoperative complications of varying degrees, 2 patients died, the rest were cured. Conclusion Elderly patients with colon cancer with obstruction should be carefully perioperative management, according to the general condition and local conditions, careful selection of surgical procedures, in order to obtain satisfactory clinical results.