高龄结直肠癌患者并急性肠梗阻的外科处理  

Surgical management of the elderly patients with acute colorectal obstruction caused by colorectal cancer

作　　者：李继坤[1] 陈进[1] 王斌[1] 

机构地区：[1]上海市第一人民医院外科,200080

出　　处：《腹部外科》2001年第6期360-361,共2页Journal of Abdominal Surgery

摘　　要：目的　探讨高龄结直肠癌患者并急性肠梗阻的外科处理方法。方法　回顾性分析我院1 992～ 1 999年间 88例高龄结直肠癌并急性肠梗阻患者的临床资料 ,综合评价其外科处理方法。结果　 88例均在入院后 3h至 5d内进行手术。 1 0例绞窄性肠梗阻中仅 3例术前确诊 ,符合率为 30 %(3/ 1 0 ) ,肿瘤切除率为 67% (59/ 88) ,术后并发症发生率为 42 % (37/ 88) ,病死率为 1 1 .4% (1 0 / 88)。结论　对高龄结直肠癌致急性肠梗阻的患者应警惕肠绞窄的发生 ,积极处理合并症 ,合理选择手术方式 。Objective To study the surgical management of elderly patients with acute colorectal obstruction caused by colorectal cancer.Methods Clinical data of 88 elderly cases of acute colorectal obstruction caused by colorectal cnacer in our hospital from 1992 to 1999 were analyzed retrospectively, and the surgical management methods were evaluated comprehensively. Results All 88 patients received surgical treatment from 3h to 5 days after admission. Strangulation was diagnosed preoperatively in only 3 of 10 cases ( 30% ). The tumor resection rate was ( 67% ) (59/88), postoperative complication rate was 42% (37/88), and mortality was 11.4% (10/88). Conclusion The accurate recognition of the presence of strangulation, active management of coexisting diseases, selection of rational operation procedure and prevention and treatment of postoperative complication were the keys to improve the therapeutic effects of the elderly patients with acute colorectal obstruction caused by colorectal cancer.

关 键 词：结肠直肠肿瘤 肠梗阻 老年人 并发症 外科手术 

分 类 号：R735.3[医药卫生—肿瘤] R574.2[医药卫生—临床医学]