摘要
目的:探讨老年人结直肠癌致肠梗阻的诊断与治疗。方法:回顾性分析我院57例60岁以上老年人结直肠癌致肠梗阻的外科治疗资料。结果:57例中Ⅰ期切除27例,Ⅱ期切除11例,捷径手术3例,单纯造瘘2例。57例中有伴发病43例,占75.4%,术后并发症发生率高达29%,手术死亡率3.5%。结论:手术切除是老年人结直肠癌病人最好治疗方法,围手术期营养支持是提高老年人急性癌性大肠梗阻手术成功率的关键。
Objective ：To discuss the diagnosis and treatment of elderly colon-rectum neoplastic obstruction. Methods：We analysed 57 old patients retrospectively, who underwent colon-rectum neoplastic obstruction and were all over 60-year old. Results：27 cases were treated with one stage resection, and 11 cases with two stage resection, 3 cases with shortcut surgery, 2 cases with simple fistulation. 43 cases（75.4%） had concomitant diseases. The complication rate was 29%, the mortality was 3.5%. Conclusion：Surgery resection is the best treatment for colon-rectum neoplastic obstruction in the elderly. Treating the concomitant diseases and postoperation complication,and perioperatian nutrition surpport are the keys to improve the surgical success rate.
出处
《现代医药卫生》
2009年第11期1622-1623,共2页
Journal of Modern Medicine & Health
关键词
老年人
肠梗阻
结直肠癌
手术治疗
Elderly
Bowel obstrution
Colon-rectum neoplasm
Surgical intervention
