大肠癌致急性肠梗阻的诊断和治疗

Diagnosis and Management for Large Intestinal Cancer Complicatedby A Cuteintesrinal Obstruction

目的:探讨大肠癌致急性肠梗阻的诊断、术前处理及手术方式。方法:对1995年1月至2005年12月手术治疗的37例大肠癌致急性肠梗阻患者的临床资料进行总结分析。结果:大肠癌致急性肠梗阻的术前确诊率为78.4%(29/37)。术前应用抗生素,术中肠道灌洗减压,行一期切除吻合术29例,占78.4%,吻合口瘘2例,占5.4%。结论:对大肠癌致急性肠梗阻应加强术前诊断,积极进行术前处理,只要情况允许应争取作一期切除吻合术。

Objectivt To explore the diagnosis,pre-Operativemanagement and procedure＇s choice for Large intestinal cancer complicated by acute intestinal obstruction. Methods 37 cases of large intestinal cancer complicated by acute intestinal obstruction were reported and related problems were analysed. Results The preoperative diagnosis rate of large intestinal cancer complicated by acute intestinal obstruction was 78.4% （29/37）, antibiotic was used before operation, decompression and lavage of intestine were used in operation. 29 cases underwent ptimary resection with anastomosis accounting for 78.4%. Conclusions The diagnosis and perioperative management are the key to successful treatment. If their conditions permit,primary resection with anastomosis would be oppropriate for the patients.