60例结肠癌并急性肠梗阻的外科手术治疗效果分析

The radical mastectomy treatment effect analysis of colon cancer and acute intestinal obstruction in 60 cases

目的探讨结肠癌并急性肠梗阻的外科手术治疗方法与效果。方法将结肠癌并急性肠梗阻患者120例根据手术方法的不同分为观察组60例与对照组60例,观察组采用腹腔镜下切除术,对照组采用常规开腹手术治疗。结果两组均无死亡病例,观察组的术中出血量、肛门排气时间和住院天数明显优于对照组(P<0.05)。观察组发生并发症6例,对照组发生5例,两组并发症各情况对比差异无统计学意义(P>0.05)。结论结肠癌肠梗阻是老年人肠梗阻患者的主要病因,腹腔镜下手术治疗具有创伤小、恢复快等优点,且不增加并发症,值得推广应用。

Objective To evaluate the radical mastectomy treatment effect of colon cancer and acute intestinal obstruction. Methods One hundred and twenty eases of colon cancer and acute intestinal obstruction were equally divided into the observation group and the control group, the observation group were given laparoscopic resection, and control group were used conventional open surgery. Results There were no deaths in the two groups, the blood loss anal exhaust time and length of hospital stay of the observation group were significantly better than the control group （P 〈 0.05）. There were six cases and five cases complications occurred in the observation group and the control group, post-operative complications contrast had no significant difference （P 〉 0.05）. Conclusion Colon cancer and acute intestinal obstruction is a major cause for intestinal obstruction in the elderly patients, laparoscopic surgery is better with less trauma, quicker recovery and without increase complications, it should be widely applied.