摘要
目的探讨结肠癌闭襻性肠梗阻临床特点和诊疗方法。方法回顾性分析33例结肠癌闭襻性肠梗阻患者的临床特点和诊治方法。结果33例结肠癌闭襻性肠梗阻患者均有腹痛和停止排便、排气,腹部触及包块16例,触痛22例,有腹膜炎体征11例,腹腔积液8例。患者均经手术治疗,手术一期切除肿瘤24例,横结肠造瘘3例,捷径手术6例。术后死亡1例。结论结肠癌闭襻性肠梗阻发病急,早期就出现腹膜炎体征和休克表现。手术治疗是提高疗效的关键。
Objective To explore the characteristics and treatment of the closed loop intestinal obstruction caused by colon carcinoma.Methods 33 cases with the closed loop intestinal obstruction caused by colon carcinoma from 1996 to 2006 were reviewed and study the clinical characteristics,the diagnosis and the treatment methods combined with what we saw during the operation and the pathophysiology.Results 33 cases had abdominal pain with stoping the defecation exsufflation.16 cases had abdominal masses,22 cases had abdominal haphalgesia,11 cases with signs of peritonitis,and 8 cases with ascites.There are 24 cases given one-stage tumor resections,3 cases given the transverse colon loop ostomies and 6 cases given the short circuit operations.Only one case died after the operation.Conclusion The closed loop intestinal obstruction caused by colon carcinoma belongs to the surgical emergency case.To heighten the understanding of the illness,diagnose early and have the operate in time are the keys to enhance the curative effect.
出处
《医学综述》
2008年第11期1752-1753,共2页
Medical Recapitulate
关键词
结肠癌
闭襻性肠梗阻
盲襻综合征
Colon carcinoma
Closed loop intestinal obstruction
Blind loop syndrome
