老年性结肠癌急性肠梗阻的手术治疗与分析

摘要

Objective To observe the clinical effect of surgical treatment of senile acute intestinal obstruction colon cancer.Methods Preoperative gastrointestinal decompression,enema,use of antibiotics,etc. Correct water electrolyte and acid-base balance disorders,correction of anemia and protein. Operation method: right-side colon resection one stage anastomosis,ileum-transverse lateral side anastomosis,transverse colon resection of one stage anastomosis, left half colon resection of one stage anastomosis,distal proximal colostomy-the colon tumor resection,second stage anastomosis,pure proximal colon colostomy,etc. Al kinds of al placed drainage tube after operation.Results 28 cases,25 cases of cure,transfer in 2 cases,1 cases died. Total effective rate was 89.28%,complications: incision infection in 2 cases,pneumonia in 2 cases,anastomotic fistula in 1 case,the incidence of complications was 17.85%.Conclusion The senile colonic cancer complicated with acute intestinal obstruction,folow relieve obstruction,effect a radical cure the tumor,reduce the complications such as therapeutic principles,in order to improve the cure rate and reduce mortality.%目的：观察分析老年性结肠癌急性肠梗阻的手术治疗的临床效果。方法术前给予胃肠减压，灌肠，应用抗生素等；纠正水电解质及酸碱平衡紊乱；纠正贫血及蛋白血症。手术方式：右半结肠切除一期吻合；回肠横结肠侧侧吻合；横结肠切除一期吻合；左半结肠切除一期吻合，近端结肠造瘘远端肿瘤切除，二期吻合；单纯近端结肠造口等。各种术式后均放置引流管。结果本组28例，治愈25例，转院2例，死亡1例。总有效率89.28%；并发症：切口感染2例；肺炎2例，吻合口瘘1例，并发症发生率17.85%。结论老年性结肠癌并发急性肠梗阻，遵循解除梗阻，根治肿瘤，减少并发症等的治疗原则，能提高治愈率，降低死亡率。