老年性结肠癌急性肠梗阻的手术治疗与分析

Senile Acute Ileus in Colon Cancer Surgery and Analysis

目的观察分析老年性结肠癌急性肠梗阻的手术治疗的临床效果。方法术前给予胃肠减压,灌肠,应用抗生素等;纠正水电解质及酸碱平衡紊乱;纠正贫血及蛋白血症。手术方式:右半结肠切除一期吻合;回肠横结肠侧侧吻合;横结肠切除一期吻合;左半结肠切除一期吻合,近端结肠造瘘远端肿瘤切除,二期吻合;单纯近端结肠造口等。各种术式后均放置引流管。结果本组28例,治愈25例,转院2例,死亡1例。总有效率89.28%;并发症:切口感染2例;肺炎2例,吻合口瘘1例,并发症发生率17.85%。结论老年性结肠癌并发急性肠梗阻,遵循解除梗阻,根治肿瘤,减少并发症等的治疗原则,能提高治愈率,降低死亡率。

Objective To observe the clinical effect of surgical treatment of senile acute intestinal obstruction colon cancer.Methods Preoperative gastrointestinal decompression,enema,use of antibiotics,etc. Correct water electrolyte and acid-base balance disorders,correction of anemia and protein. Operation method： right-side colon resection one stage anastomosis,ileum-transverse lateral side anastomosis,transverse colon resection of one stage anastomosis, left half colon resection of one stage anastomosis,distal proximal colostomy-the colon tumor resection,second stage anastomosis,pure proximal colon colostomy,etc. Al kinds of al placed drainage tube after operation.Results 28 cases,25 cases of cure,transfer in 2 cases,1 cases died. Total effective rate was 89.28%,complications： incision infection in 2 cases,pneumonia in 2 cases,anastomotic fistula in 1 case,the incidence of complications was 17.85%.Conclusion The senile colonic cancer complicated with acute intestinal obstruction,folow relieve obstruction,effect a radical cure the tumor,reduce the complications such as therapeutic principles,in order to improve the cure rate and reduce mortality.