老年人大肠癌合并急性肠梗阻64例诊治分析  

Diagnosis and treatment of colorectal carcinoma complicated with acute intestinal obstruction in 64 elderly patients

作　　者：罗德富[1] 徐海[1] 杨康[1] 贺长林[1] 

机构地区：[1]都江堰市人民医院普外科,四川成都611830

出　　处：《临床和实验医学杂志》2010年第8期580-581,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨老年人大肠癌致急性肠梗阻的诊断、外科治疗及围手术期处理。方法分析1995年1月至2009年7月行手术治疗的64例大肠癌致急性肠梗阻的老年病人临床资料。结果老年人大肠癌致急性肠梗阻的术前确诊率为50.0%(32/64)。行一期切除吻合术19例;Hartmann手术35例;单纯结肠造瘘术6例;Mile's术4例。术后并发症发生率为14.1%。结论对于大肠癌致急性肠梗阻的老年患者应及时诊断,准确把握手术时机,合理选择手术方式,不宜过分追求一期切除吻合。同时加强围手术期处理是保证手术成功的重要基础。Objective To explore the diagnosis, surgical treatment and perioperative management of acute intestinal obstruction caused by eolorectal carcinoma in elderly patients. Methods Clinical data of 64 elderly patients with eoloreetal carcinoma complicated with acute intestinal obstruction from January 1995 to July 2007 were retrospective analyzed. Results The pre - operative diagnostic rate was 50.0% （ 32/64 ）. Primary resection and anastomosis were performed in 19 cases. Hartmann＇s procedure was performed in 35 eases. Simple fistuloeolostomy was performed in 6 eases. Mile＇s procedure was performed in 4 cases. Nine patients （ 14.1% ） experienced postoperative complications. Conclusion The timely diagnosis and surgical treatment and rational selection of surgical procedure are keys for successful treatment of colorectal carcinoma and acute intestinal obstruction in elderly patients. Primary resection and anastomosis are rational selection and proper periopemtive management is the basis for success of the operation.

关 键 词：老年人 结直肠肿瘤 肠梗阻 急腹症 

分 类 号：R735.34[医药卫生—肿瘤]