急诊手术和择期手术治疗梗阻性结肠癌临床效果和安全性.docVIP

急诊手术和择期手术治疗梗阻性结肠癌临床效果和安全性 　　[摘要] 目的 探讨临床中梗阻性结肠癌患者实施急诊手术与择期手术治疗的临床效果与安全性。 方法 选择2007年1月～2011年12月山东淄博市第一医院普外二科梗阻性结肠癌患者90例为研究对象，将其按照手术时机分为择期手术组和急诊手术组，每组各45例，急诊手术组患者在诊断之后直接实施手术治疗，择期手术组患者先给予保守治疗，并在病情缓解后择期手术治疗，观察两组的临床治疗效果。 结果 择期手术组结肠癌切除Ⅰ期吻合术率为91.1%，急诊手术组结肠癌切除Ⅰ期吻合术率为55.6%，择期手术组明显高于急诊手术组，差异有统计学意义（P 　　[关键词] 梗阻性；结肠癌；急诊手术；择期手术；临床疗效；安全性 　　[中图分类号] R735.3 [文献标识码] A [文章编号] 1673-7210（2014）02（b）-0047-03 　　The clinical effect and safety of emergency surgery and elective surgery treatment for obstructive colon cancer 　　KONG Fanzhong1 SHEN Zhong2 　　1.The Second Department of General Surgery， the First Hospital of Zibo City， Shandong Province， Zibo 255200， China； 2.The Third Peoples Hospital of Hangzhou City， Zhejiang Province， Hangzhou 310000， China 　　[Abstract] Objective To investigate the clinical effect and safety of obstructive colon cancer patients undergoing elective surgery and emergency surgery. Methods 90 cases with obstructive colon cancer from January 2007 to December 2011 in the Second General Surgery Department of First Hospital of Zibo City were selected as the research objects， and they were divided into elective surgery group and emergency operation group according to the operation time， with 45 cases in each group. Operation group were given the direct implementation of emergency operation treatment after diagnosis， elective surgery group were given the conservative treatment， and in remission after elective operation treatment， the clinical therapeutic effect of two groups were observed. Results The rate of colon cancer excision Ⅰ period anastomosis in the elective surgery group was 91.1%， emergency surgery group was 55.6%， elective surgery group was significantly higher than the emergency surgery group， the difference was statistically significant （P 　　梗阻性结肠癌是临床中最为常见的一种疾病，在临床中具有较高的发病率。临床中常常给予手术治疗，但是临床中手术的时机选择的问题一直存在争议[1]。因此，本研究对梗阻性结肠癌患者实施急诊手术与择期手术治疗的临床效果与安全性进行深入性的探讨，从而为临床治疗该病提供具体的参考价值，现将本研究结果具体报道如下： 　　1 资料与方法 　　1.1 一般资料 　　选择2007年1月～2011年12月山东淄博市第一医院普外二科梗阻