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目的探讨对大肠癌并发肠梗阻患者实施Ⅰ期手术治疗的临床效果。方法选取2013年2月至2015年2月阜新市中心医院收治的大肠癌并发肠梗阻患者58例为研究对象。均实施Ⅰ期手术治疗,比较不同手术类型患者的生存率,并分析患者的不良反应发生情况。结果左半结肠Ⅰ期切除吻合术及直肠Melis术患者的3年生存率均明显高于右半结肠Ⅰ期切除吻合术组,差异均有统计学意义(均P<0.05);58例患者均成功接受Ⅰ期手术,手术伤口均为Ⅰ期愈合,未出现吻合口瘘等临床并发症;其中,4例患者出现伤口感染,1例患者出现肠黏连,不良反应发生率为8.6%(5/58)。结论Ⅰ期手术选择正确的术式治疗大肠癌并发肠梗阻患者可获得满意疗效,提高患者的生存率。
Objective To investigate the clinical effect of stage Ⅰ surgical treatment of patients with colorectal cancer complicated with intestinal obstruction. Methods From February 2013 to February 2015, 58 patients with colorectal cancer and intestinal obstruction admitted to Fuxin Central Hospital were enrolled. All patients underwent stage I surgical treatment. The survival rates of patients with different surgical types were compared, and the adverse reactions of patients were analyzed. Results The 3-year survival rate of patients with stage Ⅰ resection and anastomosis of left colon and rectal Melis were significantly higher than that of stage Ⅰ resection and anastomosis of right half colon (all P <0.05). All 58 patients In the first stage of operation, the surgical wounds were all healed by stage I without any clinical complications such as anastomotic fistula. Among them, wound infection occurred in 4 cases and intestinal adhesion occurred in 1 case. The incidence of adverse reactions was 8.6% (5 / 58). Conclusion Surgical operation of the right choice of surgical treatment of colorectal cancer patients with intestinal obstruction can obtain satisfactory curative effect and improve the survival rate of patients.