摘要
目的 探讨Hartmann’s术在大肠癌并发肠梗阻中的应用价值。方法 结合文献回顾性分析行Hartmann’s术 2 5例 ,评估Hartmann’s手术效果及局限性。结果 2 5例Hartmann’s术 ,得到Ⅰ期根治术的32 0 % (8/ 2 5 ) ;姑息性手术 5 6 0 % (14/ 2 5 ) ;病死率 12 0 % (3/ 2 5 )。结论 Hartmann’s术是大肠癌并发肠梗阻不宜Ⅰ期手术切除吻合病例的首选 ,但应严格掌握适应证。
Objective To evaluate the clinical value of Hartmann's operation in large intestinal carcinoma with obstruction.Methods Twenty-five cases of large intestinal carcinoma with obstruction operated with Hartmann's operation were analyzed retrospectively to evaluate the clinical effect and limitation of this method.Results Twenty-five cases of large intestinal carcinoma with obstruction were treated with Hartmann's operation.The patients underwent First phase radical cure in 8 cases(8/25,32%),palliative excision in 14 cases(14/25,56%).The cases fatality rate was 12.0%(3/25).Conclusion Hartmann's method is the First choise in patients with large intestinal carcinoma with obstruction and unsuitable to First radical resection and entero-enterostomy.But the operative indications must be strictly mastered.
出处
《中国基层医药》
CAS
2003年第2期134-134,共1页
Chinese Journal of Primary Medicine and Pharmacy
