摘要
目的探讨外科手术治疗大肠癌合并肠梗阻的处理方法和临床疗效。方法选择42例大肠癌合并肠梗阻的患者,对患者的治疗方法和临床疗效进行分析。结果所有患者均行大肠癌规范化手术治疗,均手术成功,术中平均出血量为(172.4±22.2)mL,平均手术时间为(148.5±16.0)min,治疗的总有效率为64.3%,并发症发生率为7.1%,其中1例切口感染、1例并发心血管疾病,随访3个月无一例死亡,且随着时间的推移,不同时间点的血清癌胚抗原(CEA)及糖类抗原(CA19-9)水平逐渐降低(P<0.05)。结论手术治疗大肠癌并发肠梗阻需根据患者的情况选择适合的手术方式以提高治疗的效果、降低并发症,提高患者的生存率。
Objective To investigate the clinical effects of surgical operation on colorectal cancer complicated by bowel obstruction. Methods Treatment methods and clinical efficacies were analyzed in 42 patients with colorectal cancer and bowel obstruction. Results Standardized surgical procedures were successfully completed in all patients. Average intraoperative blood loss and mean operating time were （172.4±22.2）mL and （148.5±16.0）min, respectively. The total effective rate was 64.3%. The carbohydrate antigen CA19-9 gradually decreased over time （P〈0.05）.Conclusion Appropriate surgical approach should be selected according to the patient＇s condition to improve curative efficacies, reduce complications and increase survival in patients with colorectal cancer and bowel obstruction.
出处
《实用临床医学（江西）》
CAS
2014年第1期52-53,56,共3页
Practical Clinical Medicine
关键词
大肠癌
手术
肠梗阻
并发症
colorectal cancer
operation
bowel obstruction
complication
