手术治疗梗阻性大肠癌临床观察.docVIP

手术治疗梗阻性大肠癌临床观察 　　[摘要] 目的 研究手术治疗梗阻性大肠癌的临床效果。 方法 选取2014年3月～2016年3月我院收治的梗阻性大肠癌的患者48例，随机分成观察组和对照组，每组24例。对照组采取常规的保守治疗和药物治疗，观察组采用手术治疗，对比两组的治疗效果和不良反应情况。 结果 观察组患者治疗有效率达95.84%，明显高于对照组的75.00%，差异有统计学意义（P0.05）；观察组不良反应率仅为8.33%，明显低于对照组的33.33%，差异有统计学意义（P0.05）。 结论 手术治疗梗阻性大肠癌临床效果显著，能够减少不良反应，提高患者的生活质量，值得在临床上推广应用。 　　[关键词] 手术；梗阻性；大肠癌；Ⅰ期吻合术 　　[中图分类号] R735 [文献标识码] B [文章编号] 1673-9701（2017）32-0040-03 　　[Abstract] Objective To study the clinical effect of surgical treatment of obstructive colorectal cancer. Methods A total of 48 patients with obstructive colorectal cancer who were admitted to our hospital from March 2014 to March 2016 were selected and randomly divided into observation group and control group， with 24 patients in each group. The control group was given conventional conservative treatment and drug therapy， and the observation group was given surgical treatment. The curative effect and adverse reactions were compared between the two groups. Results The effective rate of treatment in the observation group was 95.84%， which was significantly higher than that of 75.00% in the control group， and the difference was statistically significant（P0.05）； the adverse reaction rate in the observation group was only 8.33%， which was significantly lower than that of 33.33% in the control group， and the difference was statistically significant（P0.05）. Conclusion The clinical effect of surgical treatment of obstructive colorectal cancer is remarkable， which can reduce the adverse reactions and improve the quality of life of patients. It is worthy of clinical promotion and application. 　　[Key words] Surgery； Obstructive； Colorectal cancer； PhaseⅠanastomosis 　　梗阻性大肠癌是临床常见的恶性消化道肿瘤，随着近些年我国经济的发展，人们生活水平的提高，生活节奏不断的加快，梗阻性大肠癌的发病率逐年提高[1]。梗阻性大肠癌患者如果没有得到及时、有效的治疗和控制，会严重影响患者的生活和工作，甚至发展为癌细胞扩散，导致患者死亡。梗阻性大肠癌的临床表现主要为痛、呕、胀，间歇性发作、慢性进行性梗阻的特点，临床上对于该病的治疗有手术、内支架、中西医药等方法，虽然都有一定的疗效，但是大多存在弊端。近些年随着医疗技术的发展，手术水平有了很大的提高，手术治疗梗阻性大肠癌的效果越来越好[2]，本文主要研究手术治疗梗阻性大肠癌的临床效果，现报道如下。 　　1资料与方法 　　1.1一般资料 　　选取我院2014年3月～2016年3月收治的梗