结肠癌并肠梗阻急诊与择期手术治疗效果比较

The Treatment and Elective Surgery Compared to Colon Cancer and Intestinal Obstruction of Emergency

目的探讨结肠癌并肠梗阻急诊手术与择期手术的治疗效果。方法把60例结肠癌伴肠梗阻分为急诊手术组和择期手术组,对两组手术方式及术后并发症的发生率进行比较分析。结果急诊手术组Ⅰ期切除吻合率为61.5%,而择期手术组为100%,两组比较差异有统计学意义(P<0.05);急诊手术术后吻合口瘘发生率、肺部感染发生率、切口感染发生率分别为19.2%,11.5%,42.3%,病死率为7.7%。择期手术组没有发生吻合口瘘及死亡,肺部感染率为2.94%,切口感染率为5.88%,两组各并发症比较,统计分析显示差异有统计学意义(P<0.05)。结论结肠癌伴肠梗阻经保守治疗后择期手术疗效优于急诊手术。

Objective To evaluate the colon and intestinal obstruction in emergency surgery and elective surgery treatment.Methods 60 cases of colon cancer with intestinal obstruction were divided into emergency surgery group and elective surgery group,two groups of surgical procedures and postoperative complication rates were compared.Results The emergency operation group I was 61.5% of resection,while the elective surgery group I was 100%,the operation rate of the two groups There was significant difference（P0.05）;emergency surgery rate of postoperative anastomotic leakage,pulmonary infection rate,wound infection rates were 19.2%,11.5%,42.3%,mortality was 7.7%.Elective surgery group had no anastomotic leakage and mortality,pulmonary infection rate was 2.94%,wound infection rate was 5.88%,Comparison of the complications in each group,statistical analysis showed significant difference（P0.05）.Conclusion The colon cancer with intestinal obstruction after conservative treatment for elective surgery more effective than emergency surgery.