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大肠癌致肠梗阻的外科治疗

Surgical Treatment of Acute Ileus Caused by Carcinoma of Colon
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摘要 目的:探讨大肠癌致肠梗阻的治疗方式。方法:回顾性分析我院1988-01~2008-10收治的大肠癌致肠梗阻的临床资料。结果:本组均行手术治疗。行一期右半结肠切除、横结肠切除吻合术60例,癌肿位于脾曲、降结肠、乙状结肠者行一期左半结肠切除吻合术15例,Hartm ann手术41例,癌肿位于直肠者行一期切除吻合术3例,近端造瘘二期根治术3例,肿瘤无法切除行乙状结肠双腔造瘘术2例。结论:大肠癌致肠梗阻的外科治疗要根据病人的具体情况选择合理的术式。 Objective:To explore the treatment of acute ileus caused by carcinoma of colon.Methods:Retrospective analysis clinical data of ilcus caused by carcinoma of colon in our hospital in January19988-october 2008.Results:The group were surgical treatment.A line of right colon resection and anastomosis of 60 cases.Carcinoma at spleen descending colon and sigmoid colon were a line of left colon resection and anastomosis of 15 cases.41 cases undetwent Hartmann procedure.Rectal cancer of 3 cases were a line resection anastomosis.Proximal ostomy the second phase radical mastectomy 3 cases.Sigmoid colon cancer can not be removed,dual-chamber 2 cases.Conclusions:Surgical treatment of acute ileus causeld by carcinoma of colon.
作者 李秋波 黄睿
出处 《航空航天医药》 2010年第12期2148-2149,共2页 Aerospace Medicine
关键词 大肠癌 肠梗阻 外科治疗 Carcinoma of colon ileus Surgical treatment
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