大肠癌致急性肠梗阻的外科治疗临床分析

目的:探讨大肠癌致急性肠梗阻的外科治疗方式及效果。方法:回顾性分析大肠癌致急性肠梗阻患者100例,根据是否急诊手术分为观察组和对照组,评估近期及远期外科治疗效果。结果:观察组患者吻合口瘘、伤口感染、肺部感染及腹腔感染并发症发生率与对照组比较差异无统计学意义(P>0.05)。观察组患者3年生存率、5年生存率与对照组比较差异无统计学意义(P>0.05)。结论:大肠癌致急性肠梗阻患者行急诊一期切除吻合效果可靠、安全性高。

Clinical analysis on surgical therapy of carcinoma caused by large intestine acute ileus

Objective To investigate the way and effect of surgical therapy of carcinoma caused by large intestine acute ileus.Method The 100 cases with large intestine acute ileus were analyzed retrospectively,and they were divided into observation group and the control group according to whether got emergency operation or not.The effect in the near future and long-term effect were evaluated.Results The rate of anastomotic stoma fistula,wound infection,pulmonary infection,peritoneal cavity infection in the observation group were same to those in the control group,and there was no significant difference between them(P>0.05).There was no significant survival rate about 3 years and 5 years in the two groups(P>0.05).Conclusion The effect of excision anastomosis in emergency treatment about carcinoma caused by large intestine acute ileus is obvious and safe.