结肠癌并发肠梗阻应用手术治疗的临床效果研究.docVIP

结肠癌并发肠梗阻应用手术治疗的临床效果研究 　　[摘要] 目的 探讨研究手术治疗结肠癌并发肠梗阻的临床成效。方法 方便选择2013年7月―2016年7月该院接收的结肠癌并发肠梗阻患者60例，根据治疗方法，将所选病例等分成研究组与常规组，后者给予结肠次全切除手术治疗，前者给予切除吻合手术治疗，比较两组的疗效。结果 研究组临床治愈率为96.67%，对照组为66.67%，数据对比差异有统计学意义（P0.05），研究组手术时间、住院时间与不良反应发生率显著低于常规组，生活质量显著优于常规组，差异有统计学意义（P0.05）。结论 应用切除吻合手术治疗方案治疗结肠癌并发肠梗阻患者，临床治疗成效十分确切。 　　[关键词] 结肠癌并发肠梗阻；临床成效；手术 　　[中图分类号] R735 [文献标识码] A [文章编号] 1674-0742（2017）01（b）-0073-03 　　[Abstract] Objective To study the clinical effect of operative treatment for carcinoma of colon and intestinal obstruction. Methods 60 cases of patients with carcinoma of colon and intestinal obstruction admitted and treated in our hospital from July 2013 to July 2016 were convenient selected and divided into two groups according to the treatment method， and the routine group were treated with subtotal colectomy operation， while the research group were treated with resection and anastomosis operation， and the curative effect was compared between the two groups. Results The difference in the clinical cure rate between the research group and the control group had statistical significance（96.67% vs 66.67%）（P0.05）， and the operative time， length of stay and incidence rate of adverse reactions in the research group were obviously lower than those in the routine group， and the quality of life was obviously better than that in the routine group， and the difference had statistical significance（P0.05）. Conclusion The clinical treatment effect of resection and anastomosis operative treatment plan in treatment of patients with carcinoma of colon and intestinal obstruction is very exact. 　　[Key words] Carcinoma of colon and intestinal obstruction； Clinical effect； Operation 　　近年?恚?结肠癌并发肠梗阻患者的发生率逐渐呈上升趋势[1]。此疾病在消化道之中，较为常见，多发于老年群体，其发病源由主要是因为人体肠道炎症水肿，进而导致肠道遭到堵塞形成肠梗阻，肠梗阻发生之后，会增加人体肠道之中的内压[2]。肠梗阻是结肠癌临床中主要的表现，大约发病率为35%[3]。肠梗阻发生之后，如果未得到及时的有效治疗，便会加重病情[4]。当下治疗结肠癌并发肠梗阻，主要以手术治疗方法为主，该次研究回顾性分析了2013年7月―2016年7月间在该院治疗的结肠癌并发肠梗阻患者60例临床资料，旨在探讨结肠癌并发肠梗阻应用手术治疗的临床成效，为结肠癌并发肠梗阻患者提供临床治疗根据，现报道如下。 　　1 资料与方法 　　1.1 一般资料