胃肠道恶性肿瘤术后复发所致肠梗阻的临床特点分析

Clinical characteristics of intestinal obstruction due to postoperative recurrent gastrointestinal carcinoma

目的探讨胃肠道恶性肿瘤术后复发所致肠梗阻的临床特点及其病因诊断要点。方法以手术探查结果为标准,对胃肠道恶性肿瘤术后出现肠梗阻的72例的临床资料进行回顾性分析。结果肿瘤复发组病人原发肿瘤的分化程度较非复发组低,肿瘤分期也较晚(P<0.05)。两组在腹部包块、不完全性肠梗阻和结肠直肠梗阻的发生率方面均有非常显著性差异(P<0.01)。复发组的CEA阳性率及其平均值均明显高于非复发组(P<0.05)。结论两组间的上述差异可作为胃肠道恶性肿瘤术后复发所致肠梗阻病因诊断的重要因素。

Objective To investigate the main etiological factors and clinical characteristics of intestinal and clinical characteristics of intestinal obstruction after operation for gastrointestinal cancer. Methods Compared with surgical outcomes, many indexes of 72 patients with intestinal obstruction after operation for gastrointestinal carcinoma were analyzed retrospectively. Results In tumor recurrent group, the degree of differentiation of primary carcinoma was lower and the tumor stage was later than in tumor non- recurrent group（P〈0. 05）. There was significant difference in incidence of abdominal mass, incomplete obstruction and large bowel obstruction between two groups（P〈0. 01 ）. The mean level and positive rate of CEA in tumor recurrent group were significantly higher than in tumor non- recurrent group（P〈0. 05）. Conclusion All the factors mentioned above could be used in etiological diagnoses of intestinal obstruction after operation for gastrointestinal carcinoma.