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目的探讨老年人大肠癌并急性完全性梗阻的临床特点及治疗对策。方法回顾性分析 68例 70岁以上、确诊为大肠癌并急性完全性肠梗阻的病例 ,结合文献评价其临床特点及外科处理方法。结果 6例非手术治疗中 4例死亡 ,2例自动出院。 62例经手术治疗 ,其中一期右半结肠切除吻合 9例 ,一期左半结肠切除吻合 3 2例。其他术式 2 1例。术后并发症 2 2例 ,术后死亡 3例。结论结合老年人大肠癌并急性完全性梗阻的术前误诊率较高、晚期病例较多、并存病及术后并发症较多等特点 ,合理的术前检查及准备、重视并存病的处理、恰当的术式选择、有效的预防和治疗并发症是提高疗效的关键。适应证掌握恰当 ,一期肿瘤切除吻合是安全的
Objective To investigate the clinical features and treatment of colorectal cancer with acute complete obstruction in the elderly. Methods A retrospective analysis of 68 cases over the age of 70, diagnosed with colorectal cancer and acute complete intestinal obstruction cases, combined with the literature to evaluate its clinical features and surgical treatment. Results In the 6 cases of non-surgical treatment, 4 patients died and 2 patients were discharged automatically. Sixty-two cases were surgically treated. One of them was excised and anastomosed in the right half of the colon in 9 cases. The first half of the colon was resected and anastomosed with 32 cases. Other surgical procedures 2 1 cases. There were 22 cases of postoperative complications and 3 cases of postoperative death. Conclusions Combined with the characteristics of preoperative misdiagnosis rate, advanced cases, coexisting disease and more postoperative complications in elderly patients with colorectal cancer and acute complete obstruction, reasonable preoperative examination and preparation, emphasis on the coexistence of disease management, Appropriate surgical options, effective prevention and treatment of complications is to improve the efficacy of the key. Indications to properly grasp, a tumor resection and anastomosis is safe