大肠癌合并急性梗阻的临床治疗探讨

CoLorectal Cancer Complicated by the Clinical Treatment of Acute Obstruction

目的:探讨大肠癌致急性梗阻病例的外科处理原则、方法及预后。方法:回顾性分析46例大肠癌致急性梗阻的外科临床资料。结果:46例患者均行手术治疗,45例治愈,1例死亡,20例右半结肠行根治性切除,Ⅰ期吻合,11例左半结肠行根治性左半结肠切除,Ⅰ期吻合5例,6例行改良Hartmann术,7例中高位直肠癌,3例行Dixon,3例行改良Hartmann术,1例行乙状结肠单纯造口,8例低位直肠癌,行Dixon3例,Miles2例,改良Hartmann2例,死亡1例。结论:手术治疗大肠癌致肠梗阻是唯一办法,具体方法需根据患者全身情况及肿瘤的局部情况选择合理方式,置入内支架,变急诊为限期手术,是大肠癌合并急性梗阻治疗的未来发展方向。

Objective：To investigate actue obstruction of Colorectal cancer cases in the Principles,of Surgical treatment,methods and prognosis. Methods：Retrospective analysis 46 cases of colorectal cancer surgery of acute obstruction of the clinical data. Results ：46 Patients cases of right colon resection,one -stage anasto- mosis in 5 cases,6 muntinely modified Hartmaan. lcase sigraoid colostomy,8 cases of low rectal cancer,3 routine Dixon, Miles 2 cases,2 cases improved Hartmmm lpatint died. 3 routine Dixon, Miles 2 cases,2 cases improved Hartmann HU Xue - peng,ZHAO Hai - feng,XIA Ming. Ⅰ patint died. Conclusions：Surgical treatment of acute colorectal obstruction is the only method, specific methods must be in accordance tumors in patients with systemic conditions and local Circumstances choose the right way, implanted stent, and change for a period of emergency Surgery,is the treatment of colorectal cancer complicated with acute obstroction of the future development direction.