摘要
目的比较不同手术时机对结肠癌致肠梗阻的治疗效果及生存质量的影响。方法选取2004年3月～2009年6月于本院进行急诊手术治疗的43例结肠癌致肠梗阻患者为A组,同期进行急诊手术的43例患者为B组,后将两组患者的术中出血量、围术期死亡率、并发症发生率、6个月、1年及3年生存率及手术前后的生存质量进行统计分析。结果 B组的术中出血量小于A组,围术期死亡率及并发症发生率均低于A组,6个月、1年及3年生存率均高于A组,术后SF-36量表所有指标评分均高于A组(P均<0.05),具有统计学意义。结论择期手术更为适用于结肠癌致肠梗阻患者的治疗,对于改善患者整体状态有较高的价值。
Objective To compare different operative opportunity for treatment effect and life quality of patients with in- testinal obstruction caused by colon cancer. Methods A total of 43 patients with emergency operation of intestinal obstruc- tion caused by colon cancer in our hospital from March 2004- to June 2009 were selected as group A, and 43 patients with selective operation at the same time were selected as group B, then the intraoperative blood loss, mortality during the peri- operative period,incidence of complications,survival rate at sixth month,first and third year and life quality before and af- ter the treatment of two groups were analyzed. Results The intraoperative blood loss of group B was smaller than that of group A,mortality during the perioperative period and incidence of complications were both lower than those of group A, survival rate at sixth month,first and third year was higher than those of group A,all indexes of SF-36 score were all high er than those of group A （P all 〈 0.05）,there were all significant differences. Conclusion The selective operation is more applicable to the treatment of patients with intestinal obstruction caused by colon cancer, and it has higher value for im- proving the comprehensive state of patients.
出处
《中国现代医生》
2012年第29期38-39,共2页
China Modern Doctor
关键词
手术时机
结肠癌致肠梗阻
生存质量
Operative opportunity
Intestinal obstruction caused by colon cancer
Life quality
