老年人结肠癌伴急性肠梗阻37例诊治分析  

Analysis of 37 cases of colon cancer accompanied with acute intestinal obstruction in the elderly

作　　者：杨功安[1] 王宜轩[1] 蒋磊[1] 孙发缔[1] 

机构地区：[1]蚌埠医学院第二附属医院普外科,安徽蚌埠233040

出　　处：《蚌埠医学院学报》2010年第6期579-580,共2页Journal of Bengbu Medical College

摘　　要：目的:探讨老年人结肠癌伴急性肠梗阻的有效诊治方法。方法:对37例老年人结肠癌伴急性肠梗阻行急诊手术治疗,其中一期肠切除吻合22例;一期切除吻合、近端结肠造瘘8例;近端结肠造瘘、二期手术切除吻合5例;Hartm ann手术2例。结果:37例均治愈,无围手术期死亡。术后吻合口瘘1例,切口感染3例,肺部感染1例,腹腔感染1例。结论:早期诊断和加强围手术期处理,正确把握手术适应证,结肠癌并急性肠梗阻行一期切除吻合是安全可行的。Objective：To explore an effective therapy for elderly patients with colon cancer complicated with acute intestinal obstruction.Methods：Thirty-seven aged patients with colon cancer complicated with acute intestinal obstruction underwent emergency operation.Twenty-two of the cases were performed one-stage resection and anastomosis,8 cases one-stage resection and anastomosis with proximal colostomy and 5 cases proximal colostomy as well as two-stage resection and anastomosis.Hartmann was observed in 2 cases.Results：All the 37 cases were cured and no preoperative mortality occurred.Postoperative anastomotic leakage was found in 1 case,incision infection in 3 cases,pulmonary infection in 1 case and abdominal infection in 1 case.Conclusions：Early diagnosis,proper perioperative management and cognition of operation indications are essential for treatment of colon cancer complicated with acute intestinal obstruction by one-stage resection and anastomosis.

关 键 词：肠梗阻 结肠肿瘤 结直肠外科手术 

分 类 号：R574.2[医药卫生—消化系统] R735.35[医药卫生—内科学]