胃肠道肿瘤复发致肠梗阻的外科治疗(附45例分析)

Surgical treatment of intestinal obstruction due to recurrent gastrointestinal carcinoma(with a report of 45 cases)

目的探讨胃肠道恶性肿瘤术后腹腔肿瘤复发性肠梗阻的临床特点及诊治要点。方法将81例胃肠道恶性肿瘤术后肠梗阻再手术患者分为肿瘤复发组45例和非复发组36例,对其病理、临床表现、治疗方法、术后并发症等方面进行回顾性分析对比。结果两组在原发肿瘤分化程度、肿瘤分期、临床表现、梗阻类型、手术方式及术后并发并发症等方面存在显著性差异。结论两组间的上述差异点可作为胃肠道恶性肿瘤术后肿瘤复发性肠梗阻诊断的要点。手术方法以解除梗阻为首要目的。

Objective To investigate the main etiological factors, clinical characteristics and prophylactico-therapeutic measures of intestinal obstruction due to recurrent gastrointestinal carcinoma after operation. Methods 81 patients with intestinal obstruction due to recurrent gastrointestinal carcinoma after operation were randomly into 2 groups： recurrent carcinoma group （a = 45 ） and non-recurrent group （a = 36）. Pathological diagnosis, clinical manifestations, methodology and post-operative complications were analyzed retrospectively and compared between these two groups. Results There were significant differences in incidence between the recurrent and the non-recurrent group in degrees of differentiation and stages of primary tumors, clinical manifestations, types of intestinal obstruction, operative techniques and post-operative complications. Conclusion All the factors mentioned above could be used as the main points for etiological diagnosis of intestinal obstruction due to recurrent gastrointestinal carcinoma after operation. To relieve intestinal obstruction by operation is the most important purpose.