摘要
目的：探讨老年人结肠癌致肠梗阻的处理和 Ⅰ期切除吻合术的疗效。方法：总结 ７０例老年结肠癌致肠梗阻处理的临床资料，其中６０例Ⅰ期切除吻合术，术中排空肠道，采用全层间断内翻吻合术吻合肠管，用低渗温水冲洗腹腔，关腹前留置５－Ｆｕ５００～１０００ ｍｇ于腹内。结果：切口感染 ８例，裂开 ２例，吻合口瘘３例，无围手术期死亡。术后随访 １、３、５、１０年生存率依次为 ９４．２％（６６／７０）８７．９％（５８／６６）、７２．４％（４２／５８）、５２．４％（２２／４２）。结论：老年结肠癌致肠梗阻采用Ⅰ期切除吻合是可行的。
Objective: To study the way of management and the results of Ⅰ stage resected anastomosis for the obstruction resulting from colonic cancer in the aged people. Methods: In the total cases of colonic cancer obstruction, 60 cases were treated with Ⅰ stage resected anastomsis. After clearing the content of intestine, We adopted a layer of full - length interrupted invaginated anastomosis. Before closing the abdomen, lavaged the abdominal cavity with low osmotic warm water and then left 5 - Fu 500 - 1000 mg within. Results: The incisional infection, dehiscence and the anastomotic leakage occurred in 8 cases, 2 cases, and 3 cases, respectively, without postoperative mortality. The results of follow up showed that 1 -, 3 -, 5 - and 10 years survival rate were 94. 2 %, 87. 4 %, 72. 4 %, and 52. 4 %, respectively. Conclusion: Ⅰ stage resected anastomosis is an available way to manage the obsturuction resulting from colonic cancer in the aged patients.
