结肠癌并发完全性肠梗阻手术治疗的探讨(附67例分析)

The investigation of operations on colon cancerwith complete intestinal obstruction(the Analysis of 67 case)

目的:探讨结肠癌并发完全性肠梗阻的手术治疗。方法:以67例结肠癌并完全性肠梗阻手术治疗的结果为依据,从左、右半结肠的手术方式和生存率等方面进行分析和研讨。结果:左、右半结肠癌中行Ⅰ期切除吻合术,术后死亡率分别为31.25%和20%;行造瘘或捷径术的11例,出院后1～2年内相继死亡,Ⅰ期切除吻合的病例生存率明显高于Ⅱ期吻合术的病例。结论:在结肠癌并发完全性肠梗阻时,如果有条件应尽可能施行Ⅰ期切除吻合术,同时要避免本文所述的高危因素。

Objective:To investigate the surgical treament of colon cancer with complete intestinal obstruction.Methods:Based on the result of 67 cases of colon cancer with complete intestinal obstruction treated by operation,we investigated and analysed the subject from following respects:the operation style of desceding and ascending colon and complications after operation,survival rate,etc.Results:The mortality of descending and ascending colon cancer treated by one stage resection and anastomosis were 31.25% vs 20.00%;11 patents treated by fistulation or shortcut operation died in one or two years after operation.The survival rate of cases treated by one stage resection and anastomosis was higher than that by two stage resection.Conclusion:when circumstance permitting,resection and anastomosis in one stage should be done as far as possible.At the same time the high risk factors mentioned in this article should be avoided.