结直肠癌并发急性肠梗阻的治疗研究进展

Advances in the Treatment of Colorectal Cancer Complicated with Acute Intestinal Obstruction

在全球范围内,结直肠癌是癌症患者的第三大死亡原因。约10%~20%以急性肠梗阻为首发症状的结直肠癌患者就诊于医院。急性肠梗阻结直肠癌患者的肿瘤分期常较差,对于此类患者诸多治疗方案仍存在较大争议,主要原因在于该类患者治疗选择较广,常需要各相关科室联合治疗,其选择的治疗方案也不尽相同。目前常见的有:内科保守治疗,外科手术治疗(包括腹腔镜下微创手术)以及新型的术前桥梁手段治疗等,为急性肠梗阻结直肠癌患者的治疗提供不同的解决方案。故本文就结直肠癌并发急性肠梗阻的综合治疗研究进展作一综述。

Globally, colorectal cancer is the third leading cause of death among cancer patients. Approximately 10%~20% of colorectal cancer patients with acute bowel obstruction as their first symptom present to hospitals. Tumor staging of colorectal cancer patients with acute intestinal obstruction is often poor, and many treatment options for such patients are still controversial, mainly due to the fact that such patients have a wide range of treatment options, which often require the combined treatment of various related departments, and their choice of treatment options are not the same. Currently, the common ones are: conservative medical treatment, surgical treatment (including laparoscopic minimally invasive surgery), and new preoperative bridges, etc., which provide different solutions for the treatment of colorectal cancer patients with acute intestinal obstruction. Therefore, this paper gives a review on the research progress of comprehensive treatment of colorectal cancer complicating acute intestinal obstruction.