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目的研究和探讨结肠癌并急性肠梗阻患者的临床治疗效果,为日后诊断和治疗提供参考价值。方法结肠癌并急性肠梗阻患者86例,对其手术方式、并发症发生率和死亡率等进行分析。结果 Dukes A期患者共27例,约占31.4%,经过手术治疗后,并发症1例,并发症发生率为3.7%,死亡率为0;Dukes B期患者共37例,约占43.0%,经过手术治疗后,并发症6例,并发症发生率为16.2%,死亡率为5.6%;Dukes C期患者共17例,约占19.8%,经过手术治疗后,并发症4例,并发症发生率为23.5%,死亡率为12.5%;Dukes D期患者共5例,约占5.8%,经过手术治疗后,并发症0例,并发症发生率为0,死亡率为100.0%。结论结肠癌并急性肠梗阻的主要治疗方法为手术治疗,根据患者的不同病理分级,治疗的方法和效果也不同,临床并发症发生率和死亡率也各有差异。
Objective To study and explore the clinical therapeutic effects of colon cancer patients with acute intestinal obstruction, and provide reference value for future diagnosis and treatment. Methods Eighty-six patients with colonic carcinoma and acute intestinal obstruction were analyzed for their surgical methods, complications and mortality. Results A total of 27 cases of Dukes A patients accounted for 31.4%. After surgery, 1 patient had complications, the complication rate was 3.7%, and the mortality rate was 0. There were 37 patients in Dukes B stage, accounting for 43.0%. After surgical treatment, 6 cases had complications, the complication rate was 16.2%, and the mortality rate was 5.6%. There were 17 cases in Dukes C stage, accounting for 19.8%. After surgery, 4 cases had complications and complications occurred. The rate was 23.5% and the mortality rate was 12.5%. There were 5 patients in Dukes D stage, accounting for 5.8%. After surgery, there were 0 complications, the complication rate was 0, and the mortality rate was 100.0%. Conclusion The main treatment method for colorectal cancer and acute intestinal obstruction is surgical treatment. According to different pathological grades of patients, the treatment methods and effects are also different, and the incidence of clinical complications and mortality are also different.