摘要
[目的]探讨结直肠癌并发急性穿孔处理方式.[方法]1994年至2002年11例结直肠癌伴发急性穿孔者均急诊手术,4例行Ⅰ期肿瘤切除肠吻合术,6例Ⅰ期肿瘤切除、远端关闭,近端造瘘术(Hartmann手术),1例行穿孔修补术.[结果]全部病例无手术死亡.随访6～85个月,4例健在,中位生存期27.7个月.[结论]结直肠癌伴急性穿孔应以挽救生命为关键及时手术,尽量争取行Ⅰ期肿瘤切除以提高生存率.
To explore the management for colorectal cancer complicated with acute perforation.Eleven patients with colorectal cancer complicated with acute perfora-tion from1994to2002were emergently treated.Primary resection and entero-anastomosis was performed in4patients,Hartman's procedure in6patients and perforation prothesis in1patient.No death occurred during perioperation.The patients were followed up for6~85months.Four cases were still alive.The mean survival was27.7months.[Conclusions]Emergency surgery should be performed for the management of colorectal cancer compli-cated with acute perforation.Primary resection and anastomosis was recommended for im-proving the patient's survival.
出处
《中国肿瘤》
CAS
2003年第9期547-549,共3页
China Cancer
关键词
结直肠肿瘤
穿孔
外科学
colorectal neoplasms
perforation
surgery
