结肠癌合并肠梗阻的手术治疗方法及效果分析

The clinical efficacy of surgical treatment of obstruction with colon cancer

目的分析结肠癌合并肠梗阻的手术治疗方法及效果。方法收集我院2012年1月～2013年12月间收治的84例结肠癌合并肠梗阻患者临床资料，对其进行回顾性分析。结果84例患者中行急诊手术30例，10例发生术后并发症（33．33％），行择期手术54例，2例患者发生并发症（3．70％）；急诊手术术后并发症发生率明显高于择期手术（P〈0．05）；50例左半结肠癌患者35例患者行Ⅰ期肿瘤切除肠吻合术；34例右半结肠癌患者32例行Ⅰ期肿瘤切除肠吻合术。结论结肠癌合并肠梗阻行手术治疗时应根据患者病情、全身状况及不同手术方式的适应证、禁忌证等确定合理的手术方式，并注意在围手术期做好并发症的预防，以最大限度降低术后并发症发生率，提高手术疗效。

Objective To analyze the clinical efficacy of surgical treatment of obstruction with colon cancer. Methods The clinical data of surgical treatment in 84 patients of obstruction with colon cancer in our hospital during January 2012 to December 2013 were retrospectively analyzed. Results 84 patients underwent emergency surgery in 30 cases, 10 of them were postoperative complications （33.33%）, 54 patients were elective surgery, complications occurred in 2 patients （3.70%）; emergency surgery postoperative complication rate was significantly higher than elective surgery （P 〈 0.05）; 50 patients with left colon cancer underwent stage I tumor resection anastomosis in 35 cases; 32 cases of 34 cases with right colon cancer patients underwent stage I tumor resection anastomosis. Conclusion Surgical treatment of patients of obstruction with colon cancer should be correctly grasped indications, contraindications, and do the nursing of the complications, in order to minimize postoperative complications rate, improve the effect of operation.