摘要
目的探讨老年结直肠癌合并急性肠梗阻手术方式与并发症的关系。方法老年结直肠癌并发急性肠梗阻患者65例，采用右半结肠一期切除吻合治疗25例，左半结肠一期切除吻合26例，Hartmann手术8例，Dixon手术4例，肿瘤近端肠管造瘘2例。结果65例中术后发生并发症13例，发生率为20．0％（13／65），其中感染中毒性休克2例，肺部感染4例，吻合口漏2例，切口感染、裂开2例。死亡3例，死亡率为4．6％（3／65）。左半结肠一期切除吻合、右半结肠一期切除吻合、Hartmann手术和Dixon手术术后并发症发生率分别为69．2％、0、30．7％和0（P〈0．05～0．01）。结论结肠癌急性梗阻，右半结肠一期切除吻合并发症少，安全可行。
Objective To study the relationship between operative procedures and complication of colorectal carcinoma with acute colonic obstruction in the elderly patients. Methods 65 elderly patients undergoing emergency operation for acute colonic obstruction were analyzed retrospectively. One stage tumor resection and anastomosis was performed in 25 cases with right-side colonic lesion and in 26 cases with left-side colonic lesion, Hartmann operation in 8 cases, Dixon operation in 4 cases and proximal colostomy in 2 cases. Results In 65 cases, 13 cases of postopera- tive complications,the rate was 20.0% （ 13/65 ） , which infected with toxic shock two cases, four cases of pulmonary infection,anastomotic leakage two cases, wound infection, split 2 cases, death three cases, the mortality rate was 4. 6%. The rates of postoperative complications in right-side colonic lesion,left-side colonic lesion, Hartmann operation and Dixon operation were 69.2% ,0,30. 7% and 0 respectively （ P 〈 0. 05 - 0. 01 ）. Conclusion Acute obstruction of colon cancer,the right-side colonic lesion were safe ,feasible and few complications in colorectal carcinoma with acute colonic obstruction.
出处
《中国基层医药》
CAS
2009年第1期26-27,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
结直肠肿瘤
急性肠梗阻
并发症
Colorectal neoplasms
Acute intestinal obstruction
Complication
