对急性梗结直肠癌急诊外科治疗的分析  

Emergency surgery for treatment of acute obstructive colorectal cancer

作　　者：童启文[1] 徐国武[1] 谢建红[1] 

机构地区：[1]湖南省益阳市中心医院,湖南益阳413000

出　　处：《求医问药（下半月）》2013年第5期111-112,共2页Seek Medical and Ask The Medicine

摘　　要：目的:讨论以急性肠梗阻为临床表现的结直肠癌外科治疗方法及疗效。方法:回顾性分析97例以急性肠梗阻为临床表现的结直肠癌行急症手术治疗患者的临床资料。结果:直肠癌并梗阻35例,左半结肠癌并梗阻33例,右半结肠癌并梗阻24例,横结肠癌并梗阻5例。其中一期切除吻合85例,一期切除吻合并肿瘤近端肠管预防性造瘘6例,术后出现并发症9例(9.3%)。结论:一期切除吻合在以急性肠梗阻为临床表现的结直肠癌外科急诊手术中是安全可行的。Obsjective Discussion and efficacy of surgical treatment for acute intestinal obstruction clinical manifestations of colorectal cancer. Methods A retrospective analysis from 1991 July to 2012 December 97 cases of acute intestinal obstruction clinical manifestations of colorectal cancer underwent emergency operation treatment in patients with clinical data. Result Rectal cancer and obstruction in 35 cases, 33 cases of obstruction of the left colon cancer, colorectal cancer and obstruction in 24cases, 5 cases of transverse colon cancer with obstruction. One stage resection and anastomosis in 835cases (33 cases of left colon cancer, 24 cases of right colon cancer, rectal cancer in 23 cases, transverse colon cancer in 5 cases ),The tumor in the proximal intestine preventive colostomy in 6 cases,5 cases of Mile ' s operation, Hartmann operation in 1 cases, 9 cases of complications after operation(9.3%),As the infection of incision( 7 cases) and intestinal fistula ( 2 cases, 1 cases recovered after conservative treatment, the other 1 cases received transverse colostomy after returning operation );2 patients died;95 cases ( 97.9%) were discharged from the hospital. Conclusion one-stage resection is feasible and safe surgical emergency operation preventive colostomy in acute intestinal obstruction clinical manifestations of colorectal cancer.

关 键 词：急肠梗 结直肠癌 急诊 外科治疗 

分 类 号：R735.3[医药卫生—肿瘤]