结直肠癌合并急性肠梗阻的治疗体会(附46例报告)  

Surgical Treatments for Obstructive Carcinoma of Colorectum:A Report of 46 Cases

作　　者：汤昆[1] 

机构地区：[1]湖南省华容县血防医院普外科,华容414000

出　　处：《中国现代手术学杂志》2009年第1期25-26,共2页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨结肠癌合并急性肠梗阻的治疗方法。方法回顾性分析46例结肠癌并急性肠梗阻患者的病例资料。右半结肠癌24例,全部行根治性切除并一期吻合;左半结肠癌22例,行一期吻合18例,Hartmann术2例,术后2月行二期吻合,另2例因腹腔脏器转移而仅行梗阻肠管近段造瘘术。结果1例右半结肠癌术后第7 d出现吻合口漏,再次行横结肠造瘘,术后45 d行二期吻合,余均无吻合口漏,平均随访15(3~21)个月,2例Dukes D期患者分别死于肺部转移、消化道大出血,余均存活,中位生存时间18(8~32)月,其中带瘤生存3例。结论一期切除吻合能提高晚期结肠肿瘤合并肠梗阻患者的生活质量;对于左半结肠癌伴梗阻的患者,术中行肠道清洗后再行一期吻合依然能取得较好的疗效。Objective To explore the surgical treatments for obstructive colorectal carcinoma.Methods Retrospectively analysis was used for 46 cases of obstructive colorectal carcinoma.24 cases of the right hemicolon cancer underwent one-stage radical right hemicolectomy.In the 22 cases of the left hemicolon cancer,18 underwent one-stage radical left hemicolectomy and anastomosis,2 underwent Hartmann s operation,and the rest 2 only received colostomy for the celiac metastasis.Results One case of the right hemicolectomy...

关 键 词：结肠肿瘤 肠梗阻 

分 类 号：R735.35[医药卫生—肿瘤]