结肠癌并肠梗阻限期手术与急诊手术的疗效比较

Comparison of the curative effects between limited operation and emergency operation for colon cancer complicated with intestinal obstruction

目的比较结肠癌并肠梗阻限期手术与急诊手术的疗效。方法选择该院2005-01~2014-12收治的87例结肠癌肠梗阻患者,按手术时机的选择分为限期手术组46例和急诊手术组41例,观察比较两组的相关指标。结果限期手术组的癌肿切除率为97.83%,一期肠吻合率为93.70%,术后并发症发生率为8.70%,无手术死亡病例。急诊手术组的上述指标分别为75.61%、56.10%、43.90%、9.76%。两组前三项指标比较差异均有统计学意义(P<0.01),术后病死率差异无统计学意义(P>0.05)。结论限期手术组疗效总体优于急诊手术组,因此临床上在病情许可的情况下,尽可能争取限期手术,同时应准确掌握急诊手术指征,以免耽误抢救时机。

Objective To compare the curative effects between limited operation and emergency operation for colon cancer with intestinal obstruction. Methods The clinical data of 87 patients with colon cancer complicatedwith intestinal obstruction in our hospital from January 2005 to December 2014 were analyzed retrospectively. The tumor resection rate,one-stage anastomosis rate,complication rate and mortality rate were compared between the patients performed limited operation（ the limited operation group,n = 46） and the patients performed emergency operation（ the emergency operation group,n = 41）. Results In the limited operation group,the tumor reseation rate was97. 83%,the one-stage anastomosis rate was 93. 48%,the complication rate was 8. 70%,and there were no deaths due to operation. In the emergency operation group,the aforementioned rates were 75. 61%,56. 10%,43. 90% and9. 76% respectively. The above indicators were compared between the two groups. There were singnificant differences in the top three indicators between the two groups（ P〈0. 01）. There was no significant difference in the postoperative motality rate between the two groups（ P〉0. 05）. Conclusion The curative effect of the limited operation group is better than that of the emergency operation group. As long as the patients＇ conditions are permitted,the limited operation is recommended to perform on the patients with colon cancer complicated with intestinal obstruction.