结直肠癌根治术后肠梗阻76例分析

Analysis on 76 cases of postoperative ileus following radical resection for colorectal cancer

目的探讨结直肠癌根治术后肠梗阻的原因及治疗措施。方法回顾1988年3月至2013年12月我院收治的76例结直肠癌根治术后肠梗阻患者的临床资料,对术后发生梗阻的时间、性质与发病原因的关系及治疗方式进行分析。结果 45例患者经非手术治疗痊愈;31例患者行手术治疗,其中非肿瘤性原因引起的肠梗阻占58.06%(18/31),肿瘤性原因占41.94%(13/31)。手术至肠梗阻发生的时间,非肿瘤性肠梗阻较短,肿瘤性肠梗阻较长,梗阻时间可作为肿瘤性或非肿瘤性肠梗阻的判断指标。结论肿瘤性肠梗阻发病较晚,非手术治疗不能缓解;非肿瘤性肠梗阻发病较早,症状重,非手术治疗多可治愈。

Objective To investigate the causative factors of obstruction after radical resection of colorectal carcinoma.Methods A retrospective study was conducted to analysis the clinical data of 76 cases of obstruction after radical resection of colorectal carcinoma between March 1988 and December 2013. Results There were 45 cases cured by conservative treatment,and31 cases treated by operation. Of the 31 cases,18 were caused by non-neoplastic factors,and 13 were due to malignant factors.Conclusion The time of obstruction,differentiation and pathological staging of the tumor are relative to the obstruction after radical resection of colorectal carcinoma. The occurrence of the obstruction due to malignant factors which are always not relieved by conservative treatment is later. By contrast,the majority of non-neoplastive obstruction may be cured by medicine treatment.