摘要
目的探讨结肠癌致急性肠梗阻的手术治疗方法及效果。方法回顾性分析2000年1月～2010年5月收治的50例结肠癌并发急性肠梗阻的患者资料。结果 50例患者均行手术治疗,其中行Ⅰ期切除吻合41例,分期手术7例,Hartmann术2例。共发生切口感染3例,肺部感染4例,吻合口瘘2例,总并发症发生率为18.0%。手术死亡2例。结论Ⅰ期切除吻合手术治疗结肠癌并急性肠梗阻是可行的,正确把握手术时机,做好围术期的处理,是治疗成功的重要基础。
Objective To investigate the surgical treatment effect of acute intestinal obstruction caused by colon carcinoma. Methods Clinical data of 50 cases of acute intestinal obstruction caused by colon carcinoma treated by emergent operation during the past decade. Results All the patients received operation. 41 patients were treated by stage-I operation, 7 patients by staging operation and 2 cases by Hartmann operation. Postoperative complication rate was 18.0%, including wound infection in 3 cases, pulmonary infection in 4, anastomotic leak in 2 cases and 2 patients died during surgery. Conclusion Stage- I anastomosis for colon carcinoma with acute intestinal obstruction was feasible,adherence to the surgical indications and perioperative management were important.
出处
《中国医药科学》
2012年第3期65-65,67,共2页
China Medicine And Pharmacy
关键词
结肠癌
急性肠梗阻
外科治疗
Colon carcinoma
Intestinal obstruction
Surgical treatment
