老年性结肠癌并发肠梗阻的手术效果分析

Analysis of surgical effects on elderly colon cancer concurrent with intestinal obstruction

目的：探讨老年性结肠癌并发肠梗阻的手术效果。方法回顾性分析2009年1月～2013年2月来本院接受手术治疗的150例结肠癌并发肠梗阻老年患者，统计手术后并发症及近远期患者生存率，对比手术治疗前后的各个指标结果。结果手术过程顺利，无死亡病例出现，150例患者出现并发症的35例对症处理后症状消失，半年、1年、3年的生存率分别为86.67%（130/150）、60.67%（91/150）、48.67%（73/150）。其中治疗前后的常规指标对比显示手术能较好的解决患者的肠梗阻问题（P＜0.05）。结论老年结肠癌并发肠梗阻要早期明确诊断，并根据具体情况选择恰当的治疗时机和手术方式，以缓解梗阻并改善近远期预后。

Objective To investigate the surgical effects on the elderly colon cancer concurrent with intestinal obstruction. Methods 159 elderly patients with colon cancer concurrent with intestinal obstruction who received surgical treatment in our hospital from January 2009 to February 2013 were analyzed retrospectively. The postoperative complications and short-term and long-term patient survival rates were recorded. All the indicators before and after treatment were compared. Results All the surgeries went successfully and no death occurred. Of the 150 patients, 35 patients had complications, which disappeared after symptomatic treatment. The 6-month, 1-year and 3-year survival rates were 86.67% （130/150）, 60.67% （91/150） and 48.67% （73/150） respectively. Conclusion of the conventional indicators before and after treatment indicated that surgery can solve the patients＇ intestinal obstruction nicely. Conclusion For elderly colon cancer concurrent with intestinal obstruction, definite diagnosis should be made at an early stage and appropriate timing and surgical methods should be chosen based on the specific situation in order to relive obstruction and improve long-term prognosis.