摘要
目的:探讨左半结肠癌并肠梗阻治疗的有效方法。方法:选取2000年10月至2006年10月仪陇县人民医院收治的左半结肠癌并肠梗阻66例患者为研究对象,其中36例一期手术(A组),30例二期手术(B组),对比分析两组患者的治疗方法,疗效。结果:A组患者的术后近期吻合口漏(5.3%)、切口感染(12%)、腹腔感染(5.5%)、肺部感染(13.8%);B组吻合口漏(3.3%)、切口感染(10%)、腹腔感染(3.3%)、肺部感染(13.3%);两组并发症发生率无显著差异,P】0.05。但住院时间A组明显短于B组,p【0.05。统计A组的5年存活率为60%(18/30),B组的5年存活率为32%(8/25),两组患者的5年存活率有显著性差异,P【0.05。结论:左半结肠癌并肠梗阻时应创造条件力争一期切除肿瘤,缩短住院时间,有利于提高肿瘤切除率,改善患者的生活质量,有利于提高患者5年存活率。
Objective:To investigate the treatment of left colon obstruction and effective way.Methods:To October 2000,October 2006 Alleviation of people admitted to hospital and left colon obstruction 66 patients for the study,which 36 cases of an operation(A group),30 cases of two operations(B),comparative analysis of two groups of patients with treatment,treatment,Effect.Results:A group of patients with postoperative anastomotic leak(5.3%),wound infection(12%),abdominal infection(5.5%),pulmonary infection(13.8%);B group anastomotic leak(3.3%),wound infection(10%),abdominal infection(3.3%),pulmonary infection(13.3%);both groups the incidence of complications was no significant difference,P>0.05.A hospital stay but Group was significantly shorter in group B,p <0.05.Statistics A 5-year survival rate was 60%(18/30);B5-year survival rate was 32%(8/25);two 5-year survival of patients with a significant difference,P <0.05.Conclusion:left colon and intestinal obstruction Should strive to create the conditions for removal of a tumor,shorter hospital stay,help to improve the rate of tumor resection,to improve the patient’s Quality of life.Help to improve the 5-year survival of patients.
