摘要
目的 探讨左半结肠癌并肠梗阻的外科治疗方法及疗效.方法 回顾性分析2002年1月～2012年6月间我院收治的左半结肠癌并肠梗阻患者150例,其中72例为不全性肠梗阻,先保守治疗,再择期行一期肠切除吻合71例,行Miles手术1例;78例完全性肠梗阻进行急诊手术,行一期肠切除吻合56例,其他术式22例.结果 术后并发症34例（22.7％）,随访130例（86.67％）,2年生存率82.39％,5年生存率58.59％.在一期肠切除吻合的病例中,比较急诊手术与择期手术组间术后近期各种并发症发生率及2年、5年生存率,差异无统计学意义.结论 左半结肠癌并肠梗阻的外科治疗应该根据患者情况采取灵活的手术方式,争取一期切除肿瘤,早期解除梗阻.对左半结肠癌并肠梗阻急诊施行一期肿瘤切除吻合术是安全有效的.
[Abstract] Objective To explore the method and curative effect of surgical treatment of left half colon cancer accom- panied with intestinal obstruction. Methods A retrospective analysis was made about 150 cases of left half colon cancer accompanied with intestinal obstruction in our hospital from January 2002 to June 2012.The total contained 72 cases of incomplete ileus which were given 71 conservative treatment followed by resection and anastomosis adopted selectively besides 1 miles operation, and 78 cases of complete ileus cured with emergency surgery including J6 cases of resec- f tion and anastomosis and 22 cases of other operations. Results The 34 cases （22.7%） of postoperative complications oc- cured＇ in the total, 130 cases （86.67%） accepted follow-up visit, the 2-year survival rate was 82.39%, the J-year sur- vival rate was 58.59%.There was no statistically significant difference in the incidence of various postoperative compli- cations and 2 or J-years survival rate bettwen emergency surgery and elective surgery in those cases of resection and anastomosis （P〉0.0J）. Conclusion The flexible surgical methods of left half colon cancer accompanied with intestinal obstruction should be chosen according to the patients＇ states. We should strive for the removal of the tumor early to terminate obstruction. The treatment of emergency tumor resection and bowel anastomosis is safe and effective in the cases of left half colon cancer accompanied with intestinal obstruction.
出处
《中国现代医生》
2014年第9期149-151,共3页
China Modern Doctor
关键词
左半结肠癌
肠梗阻
外科治疗
Left half colon cancer
Intestinal obstruction
Surgical treatment
