摘要
目的探讨结直肠癌并急性肠梗阻的外科治疗原则和方法。方法回顾性分析我院1999年1月～2009年12月收治的31例合并急性肠梗阻的结直肠癌临床资料。结果术中出现并发症8例(25.8%),其中切口感染3例,切口裂开1例,腹腔感染1例,肺部感染2例,1例死亡,其余痊愈出院,无一例发生吻合口瘘。结论结直肠癌合并急性肠梗阻多属中晚期,手术是解除梗阻的有效方法,术式选择应根据病变部位和病情而定,做好围手术期处理是减少并发症、降低病死率的关键。
Objective To investigate the surgical treatment and surgical principles of colorectal carcinoma associated with acute intestinal obstruction.Methods 31 cases of colorectal carcinoma associated with acute intestinal obstruction from January 1999 to December 2009 were retrospectively reviewed. Results Complications occurred in 8cases（25.8%）,including wound infection in 3 cases,disruption of wound in 1 case,pulmonary infection in 2 cases,abdominal cavity infection in 1 case,1 case died. No anastomotic leakage occurred. Conclusion Acute intestinal obstruction indicate advanced stage of colorectal carcinoma,then operation is the only approach to resolve the obstruction,and different tumor site and general condition determine different procedures,intensive preoperative treatment is essential to reduce complication and mortality.
出处
《结直肠肛门外科》
2010年第6期355-356,共2页
Journal of Colorectal & Anal Surgery
关键词
结直肠肿瘤
肠梗阻
Colorectal carcinoma
Acute intestinal obstruction
