摘要
目的 :探讨大肠癌术后早期肠梗阻的诊断与治疗。方法 :回顾分析在肠癌手术 4 12例术后早期肠梗阻 2 9例的临床资料。结果 :2 0例经手术探查发现以机械性梗阻占多数 (18/ 2 0 ) ,手术治愈18例 ;死亡 2例 ,死亡原因均为延误手术时机造成 ;非手术治愈 9例。结论 :大肠癌术后早期肠梗阻虽有梗阻症状 ,但由于术后诸多因素的影响 ,大多缺乏典型机械性肠梗阻的临床表现。处理中先进行适当时间的非手术治疗 ,无缓解者再手术。
Objective: To explore the diagnosis and treatment of early intestinal obstruction (EIO) after cocorectal carcinoma operation. Methods: Retrospective analysis of the clinical data was made for 29 cases of EIO after 412 operations of colorectal carcinoma from January 1990 to December 2000 in our hostital. Results: Through operative exploration, 18 of 20 cases were found mechanical obstruction. 18 cases were cured by operative therapy, 9 patients wer cured by conservative therapy, 2 cases died because of delayed operation. Conclusions: Although there exist obstructive symptoms in the EIO cases after colorectal carcinoma operation, most cases lacked typical, clinical findings because of the effect of other post-operative factors. Non-operative therapy is necessary for early postoperative intestinal obsruction befor obstruction relieving operation is considered.
出处
《河北医学》
CAS
2002年第9期784-786,共3页
Hebei Medicine
