大肠癌致肠梗阻58例临床分析

Clinical analysis of intestinal obstruction caused by colorectal carcinoma

目的分析大肠癌致肠梗阻的病理类型、梗阻部位及预后。方法选择在普外科住院的大肠癌致肠梗阻58例临床资料,分析易导致肠梗阻的大肠癌病理类型、梗阻部位及预后情况。结果 1>65岁患者术后2年存活率较低,与<65岁患者比较存活率差异有统计学意义(P<0.05)。2左半结肠癌患者发生肠梗阻概率较高,与右半结肠、直肠患者比较差异有统计学意义(P<0.05)。358例患者中中分化腺癌36例(占62.07%),高于其他病理类型,差异有统计学意义(P<0.05)。4未转移患者2年存活率明显高于转移患者,差异有统计学意义(P<0.05)。结论大肠癌并肠梗阻以左半结肠高发,中分化腺癌多见,高龄和发生转移的患者术后存活期限较短。

Objective To make a clinical analysis about pathological type, site of obstruction and prognosis of acute intestinal obstruction caused by colorectal cancer. Methods Clinical data of 58 patients with intestinal obstruction caused by colorectal cancer were analyzed. Results The 2--year survival rate after surgery was lower than that of patients youn- ger than 65 years （P〈0. 05）. The incidence of intestinal obstruction at left colon was higher than that at right colon （P〈0.05）. The 2 years survival rate of non-metastatic patients was significantly higher than that of metastasis patients （P〈0.05）. Conclusion Colorectal carcinoma combined with intestinal obstruction has a high incidence of intestinal obstruction at left colon. The moderately differentiated adenocarcinoma, metastasis and elderly patients have a short survival term.