结肠癌合并急性肠穿孔临床观察

A clinical observation on colon cancer complicated with acute intestinal perforation

目的分析结肠癌易并发急性肠穿孔部位及穿孔部位和手术治疗方法对治疗效果的影响。方法选取我院1994年5月-2010年10月收治的结肠癌并发急性肠穿孔患者21例，分析其穿孔部位，手术治疗方法及术后愈合情况。结果结肠癌原发肿瘤癌灶最易并发肠穿孔，预后明显好于肿瘤近端并发肠穿孔。一期根治性切除癌肿并行肠吻合手术治疗效果明显好于其他手术治疗方法。结论结肠癌肿瘤部位易并发肠穿孔，治愈率较高，一期根治性切除癌肿并行肠吻合治疗效果较好，应加以推广。

Objective The explore the effects of the perforation location and surgical treatment on the outcome of intestinal perforation in patients with colon cancer. Methods 21 patients with colon cancer complicated with intestinal perforation who had been hospitalized and treated from May 1994 to October 2010 were included in this study. The perforation locations, procedures of surgical treatment, and postoperative healing were analyzed. Results The primary tumor lesion was the greatest cause of intestinal perforation, and the prognosis of this perforatoin is significantly better than those occurring at the proximity of the tumor＇. The efficacy of radical resection of the tumor in combination with intestinal anastomosis is significantly better than any other surgical procedures. Conclusions Intestinal perforation easily occurs at the primary location of colon cancer, but with a higher cure rate. Radical resection of radical resection of the tumor in combination with intestinal anastomosis has a better efficacy, and is worth popularizing.