左半结直肠癌致急性肠梗阻急诊治疗策略分析

Emergency treatment strategy analysis of acute intestinal obstruction induced by left colorectal cancer

目的探讨左半结直肠癌致急性肠梗阻的急诊治疗策略。方法选取左半结直肠癌致急性肠梗阻患者50例，回顾分析该类患者的病例资料。结果50例患者中Ⅰ期切除吻合手术的患者术后切口发生感染6例，无吻合口瘘发生。行肠梗阻导管减压之后Ⅰ期切除切口吻合的患者21例，术后无任何并发症发生。50例患者在实施手术后均痊愈出院，在随后的回访中无死亡病例。结论左半结肠癌致急性肠梗阻Ⅰ期切除手术是最安全的，可以作为治疗左半结肠癌的首选方式；但对于无法耐受急诊手术的患者，则需要在肠镜帮助下，通过肛门插入型导管结肠减压、灌洗和清洗污物。

Objective To evaluate the emergency treatment strategy of acute intestinal obstruction induced by left colorectal cancer. Methods 50 patients with acute intestinal obstruction caused by left colorectal cancer were selected as the research subjects. The clinical data were retrospectively analyzed. Results Of 50 patients ,6 cases of postoperative incision infection occurred in phase I excision anastomosis surgery, no anastomotic fistula. 21 cases received ileus tube decompression and phase I excision anastomosis of incision, there were no postoperative complications. 50 patients recovered after surgery, no patients died in the follow - up. Conclusion For acute intestinal obstruction caused by left half colon cancer,the method of I resection and heal surgery is the most safe, and can be used as the preferred way to make a diagnosis and treatment ,but for patients cant tolerance emergency surgery, need the help of colonoscopy, through anal insertion catheter colon decompression and lavage and clean the dirt.