大肠癌急性梗阻的治疗

Management of acute carcinomatous colonic obstruction

目的:探讨大肠癌急性梗阻的诊断、手术前处理及手术方式选择:方法:回顾1992年4月至1998年11月27例急性大肠癌梗阻进行总结分析。结果:Ⅰ期切除21例占77.8％(21/27),其中根治性切除17例;死亡1例,其余26例Ⅰ期恢复,无吻合口漏发生。结论:对急性大肠癌梗阻加强术前诊断和认识,完善术前术中处理,Ⅰ期切除术是安全可行的。

Objective: To evaluate the diagnosis, preoperative management and procedure's choice of acute carcinomotous colonic obstruction (ACCO) .Methods: 27 case of acute carcinomotous colonic obstruction between Apr. 1992 and Nov. 1998 dis-cussed .Results:21 patients (77.8%) underwent single- stage resection, Among which radical section was performed in 17 cases.Of 27 cases, only one died, the other cases recoved with no leaks. Conclusions: I o enhance pre - operative diagnosis and perioperative management of ACCO, single- stage resection was regarded safety.