大肠癌术后早期炎性肠梗阻的诊治体会

The Diagnostic and Therapeutic Experience on Early Inflammatory Intestinal Obstruction after Operation of Colorectal Carcinoma

总结大肠癌术后早期炎性肠梗阻的治疗经验和预防措施。回顾42例炎性肠梗阻病人的临床资料，治疗方法包括禁食、胃肠减压、全胃肠外营养、生长抑素和糖皮质激素的应用。42例中治愈41例。平均治疗时间为（25．5±12．5）d。1例病人行手术治疗后并发多发性肠漏死亡，其余病人均行保守治疗后痊愈，无复发。结果表明，采用保守治疗大肠癌术后早期炎性肠梗阻效果满意，并发症少，安全。

The clinical data of 42 cases with ment of colorectal carcinoma was analized in early inflammatory intestinal an attempt to summarized the obstruction after surgical treatexperience. Treatments included fasting,gastrointestinal decompression,total parenteral nutrients supply and application of glucocorticosteroid and somatostatin. Of the 42 cases,41 were cured and had no recurrence,one ease died of postoperative multiple intestinal leakage. The average treatment duration of time was （25.5 ± 12. 5） days. It is revealed that conservative treatment of the early inflammatory intestinal obstruction after surgical treatment of eolorectal carcinoma is safe,less in complications and can result in better therapeutic effect.