摘要
目的 探讨老年大肠癌急性梗阻外科治疗的有关问题。 方法 回顾性分析 1994年 1月至 2000年 3月 41例 65岁以上老年大肠癌急性梗阻病人的外科处理。 结果 老年大肠癌急性梗阻以右半结肠居多，占 63.41％，一期切除 31例，占 75.61％，其中根治性切除 26例，结肠造口 4例，短路 6例，围手术期死亡 4例。 结论 对老年大肠癌急性梗阻应加强术前诊断和认识，充分的术前准备，适当的手术时机和手术方式的选择，加强围手术期的营养支持，是手术成功的有效措施。
Objective To evaluate the pertinent problem in the surgical treatment for acute obstruction in elderly patients with colorectal carcinoma. Methods From Jan 1994 to Mar 2000,41 cases of elderly patients with obstuction caused by colorectal carcionma were analysed retrospectively. Results The obstructive location of all elderly acute colorectal obstruction was 63.41％ in the right semicolon,31patients underwent single－ stage resection(resection rate 75.61％ ),4 cases colostomy,6 cases bypass, 4cases dies. Conclusions To enhance preoperative diagnosis and perioperative mangement of acute carcinomatous colorectal obstruction,we hold that the effective measures for succeseful the operation lies in fully preoperative preparation,the appropriate choice of operation time,operation procedure and nutrition support during perioperative period.
出处
《老年医学与保健》
CAS
2001年第2期113-114,共2页
Geriatrics & Health Care
关键词
老年
大肠癌
肠梗阻
外科治疗
Elderly
Colorectal carcinoma
Intestinal obsrtuction
Surgical treatment
