摘要
目的:探讨结肠癌伴急性结肠梗阻手术方式的选择。方法:回顾性分析我院1996年3月至2005年10月期间手术治疗86例癌性急性结肠梗阻的临床资料。结果:全组术前确诊率38.4%(33/86)。Ⅰ期肿瘤切除69例,占80.2%(69/86),Ⅰ期吻合55例,占79.7%(55/69);其中左半结肠癌占69.1%(38/55),hartmann手术16例,占17.9(16/86)。Ⅰ期单纯造瘘14例(6例Ⅱ期切除),支架植入2例(1例Ⅱ期切除),总切除率80.2%(69/86),术后并发吻合口瘘1例,治愈83例,住院死亡3例(3.5%)。结论:对结肠癌急性肠梗阻应综合分析,选择适当术式,个体化治疗。
Objective ：To discuss the operative procedure choice for carcinomatous acute colonic obstruction （CACO）.Methods：Medical records of 86 patients with CACO between March 1996 and October 2005 were reviewed retrospectively, and the clinical outcome was evaluated.Results：The pre-operative diagnosis rate of CACO was only 38.4%（33/86）;69 patients （80.2%） underwent single-stage tumor resection, of whom 55 patients （79.7%） underwent primary anastomosis including 38 cases of left colonic carcinoma（69.1%）,16 patients underwent Hartmann procedure. First-stage simple colostomyl4 cases （second-stage resection 6cases）;and the selfexpandable metallic stent placement 2 cases （second-stage resection 1 case）;overall resection rate was 80.2%. Anastomotic leakage 1 case, recovery：83 cases,and death 3 cases（3.5%）. Conclusion ：Suitable operative procedure and individual treatment according to comprehensive analysis of CACO patients,should be shosen.
出处
《泸州医学院学报》
2007年第2期114-116,共3页
Journal of Luzhou Medical College
关键词
结肠癌
急性结肠梗阻
术式选择
Colon carcinoma
Acute colonic
Obstruction
Operative procedure Choice
