大肠癌急性肠梗阻的治疗探讨

Study on the rapy of intestinal-obstruction due to colon carcionoma

目的 :探讨大肠癌所致急性肠梗阻的诊断 ,围手术期的处理及手术方式的选择。方法 :对 1992年 1月～ 2 0 0 1年 12月我院收治 5 2例大肠癌急性肠梗阻的资料进行总结和分析。结果 :5 2例均行手术治疗 ,其中Ⅰ期切除吻合 2 5例 ,占 48% ,Ⅰ期切除吻合 +近端造瘘 2 0例占 3 8 4%。单纯永久性肠造口 7例占 13 4% ,其中左半结肠占 67 3 % ,右半结肠占 3 2 7% ,全部病例无死亡 ,无吻合口漏。结论 :大肠癌并急性肠梗阻 ,及时。

Objective Investigateacuteintestinalobstructioncausebycoloncancer ,Thediagnosisperioperationperiodtresatment andselection .methodofoperation .Method Dataof 5 2casesofcoloncanceracompaniedwithacuteintestinalobstructioninourhospital duringtheperiodofJunary 1992toDecember 2 0 0 1werecollectedandsummarigedandanalysed .Resulf Allthe 5 2casesacceptoperative therapy .AmongthenstageItesectionandamastomosis 2 5cases( 4 8% )stageI .resectioinplusparoximalandfistula 2 0cases( 3 8 4% ) simplepermanententerostomy 7cases( 13 4% )Amongthenleftcolondominate 67 3 %rightcolon 3 2 7% .Allcasessurvivewithout death .Noanastomsisfistulainourgroup .Condusion Treatcoloncarceraccompaniedwithacuteintestinalobstruction .operationontime andperfectlymethodarethekeyofinceasingtherateofreseetionofstageIcoloncancerandloweningthepostoperativecomplications