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目的:分析老年结肠癌肠梗阻的特点及外科诊治方式。方法:本组87例患者中38例经保守治疗缓解后限期手术,49例急诊手术。结果:本组治愈82例,死亡5例,病死率5.7%;术后并发症23例,占26.4%。结论:初步分析结果提示,对老年人大肠癌并梗阻患者应尽可能一期切除吻合,但老年人合并症多,手术后并发症多,应加强围手术期治疗。
Objective: To analyze the characteristics and surgical diagnosis and treatment of intestinal obstruction in elderly patients with colon cancer. Methods: 38 cases of 87 patients in this group were treated conservatively to limit the period after surgery, 49 cases of emergency surgery. Results: In this group, 82 cases were cured, 5 died and the case fatality rate was 5.7%. Postoperative complications occurred in 23 cases (26.4%). Conclusion: The results of the preliminary analysis suggest that resection and anastomosis should be performed on the elderly patients with colorectal cancer and obstruction as much as possible. However, there are more elderly patients with complications and more postoperative complications. Perioperative management should be strengthened.