摘要
本文就1978～1988年间收治40例结肠癌并梗阻患者的诊断与治疗进行探讨。在诊断方面,本文分析了结肠癌梗阻的临床特点,提出钡灌肠造影检查是确诊结肠癌梗阻的主要措施。本文认为对结肠癌所致梗阻均应尽量施行Ⅰ期切除肿瘤,根据全身和局部条件决定Ⅰ期吻合或造瘘。本组40例,Ⅰ期切除25例,无手术死亡,Ⅰ期吻合21例,无吻合口痿并发症,取得了满意的效果。本文还对结肠癌梗阻穿孔的治疗作了讨论。
The diagnosis and treatment of 40 cases of colon cancer complicatedwith obstruction were studied.The clinical characteristics of coloncancer complicated with obstruction were analyzed.Barium enemaroentgenogram were considered as the main method of examination forcolon cancer complicated with obstruction.In the article,the mainpoint is that in all the obstructions caused by colon cancer the tumorought to be resected in one stage,and primary anastomosis or colostomywas decided according to the general and regional conditions.Therewere 40 cases in the group,among which 25 cases were resected inone stage,21 cases were anastomosed immediately after primary resection,no mortality and anastomotic fistula complication occured,the resultwas satisfactory.Treatment of perforation caused by obstruction ofcolon cancer were also discussed in the article.
关键词
结肠肿瘤
并发症
梗阻
诊断
Colon cancer
intestinal obstruction
primary resectin
