摘要
作者报告了手术治疗急性大肠梗阻283例,其中结直肠癌引起的梗阻255例,良性病变引起的梗阻28例。行一期切除术201例,其中行一期切除近端结肠造口二期肠造口闭合术44例,一期切除吻合术157例。行分期手术52例。术后生存率一期切除术优于分期手术。作者认为:(1)左侧结直肠癌梗阻情况允许时应尽量争取一期切除术,条件许可时行一期吻合术,如不能吻合则行近端结肠造口二期肠造口闭合术,一期切除吻合加保护性横结肠造口术不宜采用;(2)术中结肠灌洗对左侧结肠梗阻一期切除吻合具有重要意义;(3)结肠次全切除术适合于横结肠左侧至降结肠部位的梗阻。
Two hundred and eighty three patients with colorectal obstruction who underwent surgery were reported.The causes of intestinal obstruction were colorectal carcinoma(255 patients),and benign colorectal diseases(28 patients),One-stage resection was performed in 201 patients.Of them 157received primary anastomosis and 44 delayed anastomosis.Fifty two patients.were treated by staged procedures.Survival rates of one-stage resection were better than that of staged procedures.Basing on the experiences,the authors suggested:(1)Obstructing carcinoma of the left colon and rectum should be trealed by one-stage resection,and primaryanastomosis,when it is allowable,otherwise,a delayed anas-tomosis is performed,one-stage resection with protective transverse colostomy is unsuitable.(2)Intra-operative colonic irrigation is essential for one-stage resection with primary anastomosis in cases wrth obstruction of the left colon and rectum.(3)Subtotal colectomy is fit for obstruction of the left trans-verse colon and descending colon.
作者
王代科
黄显凯
陈林
Wang Datke;Huung Xiunkai;Cheng Lin(Daping Hospitui,Third Multtury Medical University,Chongqing 630042.)
出处
《普外临床》
CSCD
1997年第3期167-170,共4页
关键词
肠梗阻
结肠切除术
Intestinal obstruction
Colectomy
