结肠癌并发急性穿孔18例诊治体会

Experience in diagnosis and treatment for perforation in colon adenocarcinoma: a report of 18 cases

目的 探讨结肠癌梗阻并发急性穿孔的处理方法。方法 总结我院近 15年来收治的18例结肠癌急性穿孔病例进行回顾性分析。结果 本组死亡 6例 ,感染性休克、急性肾功能衰竭、呼吸衰竭是主要死因。结论 及时诊断、积极治疗、简捷有效的手术可降低本病的死亡率。病情允许 ,可做一期切除和一定范围的肠段及淋巴结切除 ,术后辅助治疗 ,有望患者得到较长时间的生存。

Objective To explore the principles of diagnosis and treatment of the obstruction and perforation in colon adenocarcinoma.Methods Eighteen patients with obstruction and perforation in colon adenocarcinoma in the recent 15 years in our hospital were analyzed retrospectively. Results In this group, 6 cases were died. The major dead causes included infectious shock, acute renal failure and ARDS.Conclusion Early diagnosis and treatment, and effective surgical operation can decrease the mortality of the patients with obstruction and perforation in colon adenocarcinoma. If the patient`s condition was allowed, they can underwent primary resection, a certain range of intestine segment resection and clearance of lymph nodes.