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目的探讨老年结肠癌并发肠梗阻患者的外科治疗情况。方法对我院48例老年结肠癌并发肠梗阻患者进行急诊或限期手术治疗。结果 48例患者中46例做切除吻合,发生吻合口瘘2例(4.3%),急诊手术组围手术期死亡率为(4.2%),限期手术组围手术期死亡率为(2.1%)。结论对老年结肠癌并发急性肠梗阻的处理需根据老年患者的具体情况决定手术方式,选择正确的手术时机和手术方式能获得良好的治疗效果,同时重视围手术期处理。
Objective To investigate the surgical treatment of senile colon cancer complicated with intestinal obstruction. Methods 48 cases of elderly patients with colon cancer and intestinal obstruction emergency or limited period surgical treatment. Results Of the 48 patients, 46 cases underwent resection and anastomosis. Anastomotic fistula occurred in 2 cases (4.3%). The perioperative mortality rate was (4.2%) in the emergency operation group and (2.1%) in the limited operation group. Conclusion The treatment of elderly patients with acute intestinal obstruction due to colon cancer should be based on the specific circumstances of elderly patients to determine the surgical approach, select the correct timing of surgery and surgical procedures to obtain good treatment, while emphasis on perioperative management.