摘要
目的 探讨梗阻性结肠癌的诊断和治疗方法。方法 回顾性分析 46例梗阻性结肠癌的诊断和治疗情况。结果 46例病人均行急诊手术。右半结肠Ⅰ期切除 1 1例 ,扩大右半结肠Ⅰ期切除 2例 ,左半结肠Ⅰ期切除 6例 ;Ⅱ期手术 2 0例 ;捷径手术 3例 ,单纯肠造口术 4例。结论 对梗阻性结肠癌治疗的目的是解除梗阻及根治肿瘤 ,经积极术前准备后急诊手术。右半结肠癌合并急性肠梗阻除非患者不能耐受根治术或肿瘤无法切除 ,均应施以右半结肠切除术 ;左半结肠癌合并急性肠梗阻除有Ⅰ期手术适应证者外 。
Objective To discuss the method of diagnosis and treatment for colonic obstruction caused by colonic carcinoma.Method 46 cases of colonic obstruction caused by colonic carcinoma were reviewed.Results Among the 46 cases,11 cases underwent colectomy on the right half,two cases performed extended colectomy on the right half,6 cases colectomy on the left half,20 cases colectomy on the left half by stages,3 cases ileumcolon shunt,4 cases colostomy.Conclusion The objective of surgical treatment of colonic obstruction caused by colonic carcinoma is to remove the colonic obstruction and cure the tumor radicaly by active preoperative preparations and emergent operation.All colonic obstruction caused by colonic carcinoma on the right half should be performed colectomy on the right half except radical cure can not be supported or the tumor can not be removed.All colonic obstruction caused by colonic carcinoma on the left half should be performed colectomy by stages except operative indication in the Ⅱ stage.
出处
《河北医药》
CAS
2000年第8期585-586,共2页
Hebei Medical Journal
关键词
梗阻性结肠癌
诊断
治疗
外科手术
colon carcinoma
colonic obstrucion
diagnosis
treatment
