大肠癌致肠梗阻17例的诊治体会

The Diagnosing and Treatment of Intestinal Obstruction Caused by Cancer of Colon: A report of 17 Cases

目的 探讨大肠癌致肠梗阻的诊治方法。方法 分析 17例大肠癌致肠梗阻的临床资料。结果 17例病人中Ⅰ期右半结肠切除 6例 ,Ⅰ期横结肠癌切除 3例 ,Ⅰ期左半结肠或乙状结肠切除 5例 ,Ⅰ期左半结肠或直肠上段癌切除、近端结肠造口 2例 ,肿瘤无法切除行乙状结肠造口 1例。术后并发症发病率为 2例 ( 11.8% ) ,围手术期无死亡。结论 重视对癌性梗阻的认识 ,合理选择手术方式是提高疗效 ,减少病人痛苦的重要措施。

Objective To investigate the diagnosing and treatment of intestinal obstruction caused by cancer of colon. Methods The clinical data of 17 cases of intestinal obstruction caused by cancer of colon were analyzed. Results Right hemicolectomy were performed in 6 patients. Transverse colectomy was performed in 3 patients with cancer. Right hemicolectomy or sigmoid colectomy was performed in 5 patients. Colostomys of proximal end were performed in 2 patients with cancer of left heicolon or superior segment of rectum. Sigmoidostomy were performed in 1 case because the tumor could not be resected. Postoperative complications occurred at 2 patients (11.8%). No patient died in Perioperative patients. Conclusions Doctors ought to pay more attention to the intestinal obstruction caused by tumor. In order to improve the effect and reduce the pain of patients, the important measure is selecting the correct operation method.