目的:探讨外科手术治疗结肠癌合并肠梗阻的临床疗效的意义。方法:以139例行外科手术治疗结肠癌合并肠梗阻的的患者为研究对象,行分期手术共有66例,其中有23例早期手术病例,12例因低蛋白血症、合并下消化道大出血、肠穿孔、并发肠部分坏死、弥漫性腹膜炎而行急诊手术。行一期手术73例,其中横结肠肿瘤18例,回盲部及结肠肝曲肿瘤30例,结肠脾曲及乙状结肠肿瘤15例,直肠上端肿瘤4例。两组患者在病程、性别以及年龄均无统计学意义,P>0.05。结果:经过手术后,全组病例均痊愈出院;一期手术患者的住院费用较低、术后并发症率较小。结论:行一期外科手术治疗结肠癌合并肠梗阻,值得临床推广与应用。
Objective:To investigate the clinical effect of surgical operation in treatment of colon cancer with intestinal obstruction .Method:139 cases of surgical operation in the treatment of colon cancer compli-cated with intestinal obstruction patients as the research object , for staging operation a total of 66 cases, in-cluding 23 cases of early operation cases , 12 patients with hypoproteinemia , combined with lower gastrointes-tinal bleeding , intestinal perforation , intestinal necrosis , diffuse peritonitis and emergency operation .73 ca-ses underwent stage one operation , including 18 cases of colon cancer , the ileocecal valve and the hepatic flexure of the colon tumors in 30 cases, 15 cases of splenic flexure of colon and sigmoid colon cancer , 4 ca-ses of rectal tumor of upper .Patients in the two groups had no statistical significance in the course of the dis-ease, sex and age, P〉0.05.Result:After operation, all patients were cured;hospitalization expenses low , postoperative complication rate in patients with a small operation .Conclusion: Stage one surgical operation in the treatment of colon cancer complicated with intestinal obstruction , is worth the clinical promotion and application .