姑息性手术治疗消化道恶性肿瘤致肠梗阻的效果及预后观察  

Observation on the effect and prognosis of palliative surgery in the treatment of intestinal obstruction caused by malignant tumors of digestive tract

作　　者：王众 WANG Zhong(Department One of General Surgery,Yingkou Central Hospital,Yingkou 115000,China)

机构地区：[1]营口市中心医院普外一科,115000

出　　处：《中国现代药物应用》2022年第3期44-47,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探究姑息性手术治疗消化道恶性肿瘤致肠梗阻的效果以及预后。方法84例消化道恶性肿瘤致肠梗阻患者,按照治疗方式不同分为对照组和试验组,每组42例。对照组行根治性手术治疗,试验组行姑息性手术治疗。比较两组患者治疗效果、术后相关指标以及治疗前后的生活质量。结果试验组治疗总有效率57.14%(24/42)与对照组的47.62%(20/42)比较,差异无统计学意义(χ^(2)=0.764,P=0.382>0.05)。试验组患者术后血浆蛋白(41.21±6.16)g/L、白蛋白(40.84±6.35)g/L、血红蛋白(132.78±15.01)g/L均高于对照组的(36.21±4.05)、(35.78±4.54)、(119.49±9.58)g/L,住院时间(10.58±1.42)d短于对照组的(14.69±2.12)d,差异均具有统计学意义(P<0.05)。治疗后,两组患者躯体功能、心理状态、社会交往、自护能力评分均高于治疗前,且试验组高于对照组,差异均具有统计学意义(P<0.05)。结论姑息性手术治疗对于消化道恶性肿瘤致肠梗阻具有实施价值。Objective To investigate the effect and prognosis of palliative surgery in the treatment of intestinal obstruction caused by malignant tumors of digestive tract.Methods A total of 84 patients with intestinal obstruction caused by malignant tumors of the digestive tract were divided into control group and test group according to different treatment methods,with 42 cases in each group.The control group received radical surgery,and the test group received palliative surgery.The therapeutic effect,postoperative related indicators and quality of life before and after treatment were compared between the two groups.Results The total effective rate of treatment 57.14%(24/42)in the test group was not statistically significant compared with 47.62%(20/42)in the control group(χ^(2)=0.764,P=0.382>0.05).The postoperative plasma protein(41.21±6.16)g/L,albumin(40.84±6.35)g/L,and hemoglobin(132.78±15.01)g/L of the test group were higher than(36.21±4.05),(35.78±4.54),and(119.49±9.58)g/L of the control group,and the hospitalization time(10.58±1.42)d was shorter than(14.69±2.12)d of the control group.All the differences were statistically significant(P<0.05).After treatment,the scores of somatic function,psychological status,social interaction,and self-care ability of both groups were higher than those of this group before treatment,and the test group was higher than the control group.All the differences were statistically significant(P<0.05).Conclusion Palliative surgery is of practical value for intestinal obstruction caused by malignant tumor of digestive tract.

关 键 词：姑息性手术 消化道恶性肿瘤 肠梗阻 效果 预后 

分 类 号：R735[医药卫生—肿瘤]