大肠癌并肠梗阻169例外科治疗体会

Surgical management of 169 cases intetine obstruetion eaused by large intestine cancer

目的 :探讨大肠癌并肠梗阻外科治疗的方法。方法 :回顾性分析我院 1990年至 2 0 0 0年收治的 16 9例大肠癌合并急性梗阻病例。评价外科治疗方法。结果 :16 9例患者均手术治疗 ,死亡 9全例 ,病死率 5 .9% ,并发症 14例 ,其余均治愈。结论 :大肠癌并肠梗阻患者手术要根据其全身善及肿瘤的情况综合分析。一期和吻合是安全可行的。老人的低位肠梗阻有 70 %是大肠肿瘤所致 。

Objectrive: To evaluate the method of surgical management of intestine obstruction caused by large intestine cancer. Methods: Data of 169 above cases in our hospital from 1990 to 2000 were analyzed retrospectively. Surgical management about these patients was comprehensively evaluated. Results: Everyone of 169 cases underwent on operation. 9 cases were dead and the mortality rate was 5.9%, complications occurred in 23 cases. the rest of patients were healed. Conclusion: The management of intestine obstruction caused by large intestine cancer depends on general condition of the patient and local manifestation of the callcer. The single-stage resection and anastomosis may be safe and suitable.