手术治疗结直肠癌致老年急性肠梗阻67例临床分析

Surgery effect analysis of 67 cases elderly patients with acute intestinal obstruction caused by colorectal cancer

目的:探讨老年人结直肠癌致急性肠梗阻的临床特点、发病机制、治疗方法。方法:回顾性分析67例老年结直肠癌致急性肠梗阻手术病例。结果:67例患者均能康复出院,其中1例发生吻合口瘘,经保守治疗后痊愈出院,无死亡病例。结论:老年人肠梗阻应引起足够重视,严格掌握手术适应证,做好充分术前准备,因人而异选择合理的术式,加强围术期处理,是保证手术成功的关键。

Objective： To explore the clinical features, pathogenesis, methods of elderly acute intestinal obstruction caused by colorectal cancer, Mothods： Retrospective analyzed the 67 cases of elderly colorectal cancer patients with acute intestinal obstruction. Results： All patients were discharged, except one of them occurred in anastomotic. After conservative rehabilitation, he was discharged. There was no death. Conclusion： Intestinal obstruction of aged should be taken sufficient attention. To judge surgical indications strictly, make full preoperative preparation, choose a reasonable procedure person to person, strengthen the perioperative management are keys to successful operation.