摘要
目的 探讨老年大肠癌合并急性肠梗阻的外科诊断和治疗的有关问题。方法 回顾性分析 1991年 6月到 2 0 0 0年 6月 10年间 92例老年大肠癌并急性肠梗阻的外科处理。结果 在本组病例中 ,根治性切除 77例 (83 7% ) ,捷径手术 5例 ,单纯肠造口术 10例。病理证实高分化腺癌 2 1例 ,中分化腺癌 43例 ,低分化腺癌 11例 ,未分化癌 4例 ,粘液腺癌 13例。围手术期并发症 3 8例(41 3 % )。结论 老年大肠癌合并急性肠梗阻一经确诊 ,应积极争取手术 ,术式选择应根据患者具体病情决定。完善围手术期处理 。
Objective To discuss the surgical diagnosis and management of acute obstructing colorectal carcinoma in the elderly.Methods From June 1991 to June 2000,92 cases with acute obstructing colorectal carcinoma,which received surgical treatment,were analyzed retrospectively.Results Of all 92 cases,77 received complete resection,the resection rate was 83 7%.5 cases received shortcut operation,10 cases received simple colostomy.All cases were proved by pathologic data.There were 38 cases having all kinds of complication in prerioperative period (41.3%).Conclusions Positive operation should be taken when the diagnosis of acute obstructing colorectal carcinoma in the elderly is made.The operative method depended on the patients' conditions.We believed it important to enhance perioperative management of acute obstructing colorectal carcinoma in the elderly for decreasing mortality and complications.
出处
《河南肿瘤学杂志》
2001年第5期335-336,共2页
Henan Journal of Oncology
关键词
结肠直肠癌
急性肠梗阻
老年人
诊断
治疗
the elderly
colorecteal carcinoma
acute colonic obstruction
