摘要
目的探讨结肠癌致急性肠梗阻的外科处理方法。方法对32例结肠癌致急性肠梗阻患者的临床资料进行回顾性分析。结果32例患者巾,Ⅰ期右半结肠癌切除吻合9例；Ⅰ期横结肠癌切除吻合2例；Ⅰ期左半结肠或乙状结肠癌切除吻合14例,术巾均行肠道灌洗；Ⅰ期左半结肠或乙状结肠癌切除,近端结肠造口,关闭远端备Ⅱ期吻合5例；肿瘤无法切除行回横结肠吻合1例(升结肠癌),行横结肠造口1例(降结肠癌)。术后无吻合口漏发生,发生切口感染4例(12．5%),病死1例(3．1%)。结论重视对结肠癌致急性梗阻的认识。合理选择手术方式,做好围手术期处理是减少并发症,提高疗效的重要措施。
Objective To explore the surgical method of acute intestinal obstruction from colon cancer. Methods The data of 32 patients with acute intestinal obstruction from colon cancer were analyzed retrospectively.Results Among the 32 cases,9 were subjected to right-colon cancer resection and anastomosis,2 to transverse colon cancer resection and anastomosis;14 patients to left - colon or sigmoid colon cancer resection and anastomosis with intestine rinse,and 5 patients left- colon or sigmoid colon cancer resection and proximal colostomy respectively and primarily;but two cases of them could not be resected, one of which received ileotransversostomy, and the other transverse colostomy. No anastomsis fistula was found,4 cases were suffered from incision infection （12.5%）, and one case was died （3.1%）. Conclusion More attention should be paid to intestinal obstruction caused by carcinoma of colon. Selecting rational colectomy and appropriate perioperative management are of importantance for reducing both complication and mortality rate.
出处
《实用医药杂志》
2006年第9期1028-1030,共3页
Practical Journal of Medicine & Pharmacy
关键词
结肠癌
急性肠梗阻
肠道灌洗
Carcinoma of colon Acute intestinal obstruction Intestine rinse
