老年结、直肠癌性梗阻的诊断与治疗体会

目的探讨老年结、直肠癌性梗阻的诊治方法。方法回顾分析56例老年完全性结、直肠癌性梗阻的临床表现、诊断和治疗。结果本组56例行手术治疗,入院至手术时间为3小时至5天。术中诊断13例为绞窄性肠梗阻,其中5例术前做出诊断,符合率38.5%。术后发生并发症19例,死亡3例,病死率5.4%,其中绞窄性肠梗阻死亡2例。结论对于老年结、直肠癌性梗阻,能够早期并准确地认识到绞窄性肠梗阻的发生,对治疗和预后具有重要意义。

The diagnosis and treatment of large intestinal mechanical obstruction on elderly patients Associated with colorectal carcinoma

Objective To evaluate the management of large intestinal mechanical obstruetion on elderly patients associated with colorectal carcinoma.Methods The manifestation,diagnosis and treatment of fifty-six elderly patients with mechanical bowel obstruction due to coloreetsl carcinoma were analyzed retrospectively.Results 46 eases were received surgical treatment from three hours to five days after admission.Strangulation was defined in 13 patients during operation,and five(38.5%)were confirmed to preoperative diagnosis.Complications occurred in 19 of.56 cases undergoing operation.3 cases died and the mortality rate was 5.4%.Two of 13 patients with strangulation died after operation.Conclusions An accurate and early recognition of the presence of bowel strangulation is important to the treatment and prognosis in elderly patients with mechanical large intestinal due to colorectal carcinoma.