结肠癌致急性肠梗阻38例临床分析  

Clinical Analysis on 38 Patients with Acute Intestinal Obstruction Caused by Carcinoma of Colon

作　　者：张春阳[1] 张少军[1] 刘凤阳 

机构地区：[1]沈阳医学院奉天医院普外一科,辽宁沈阳110024 [2]本溪钢铁公司胸科医院九病房

出　　处：《沈阳医学院学报》2005年第2期90-91,共2页Journal of Shenyang Medical College

摘　　要：目的:探讨结肠癌致急性肠梗阻的外科处理方法。方法:分析1999年至2004年38例结肠癌致急性肠梗阻的外科治疗资料。结果:38例患者中,Ⅰ期行右半结肠切除5例;Ⅰ期行左半结肠切除,近端结肠造瘘,关闭远端结肠31例;肿瘤无法切除行横结肠造瘘2例。术后并发症发生率13.2%(5/38),围手术期病死率2.6%(1/38)。结论:加强对结肠癌致急性肠梗阻的认识。选择合理的手术方式,减少手术并发症,提高疗效。Objective: To study the surgical treatment of acute intestinal obstruction caused by carcinoma of colon. Methods: Retrospective analysis on surgical treatment of the intestinal obstruction caused by carcinoma of colon in 38 patients from 1999 to 2004 was performed. Results: In 38 patients, right hemicolectomy was performed in 5 patients, left hemicolectomy with proximal colon fistulization was performed in 31 patients and transvercolon fistulization was performed in 2 patients whose tumors couldn’t be resected. The postoperative complication rate was 13.2%(5/38),and perioperative mortality rate was 2.6%(1/38). Conclusion: More attention should be paid to acute intestinal obstruction caused by carcinoma of colon . Selecting rationally surgical treatment and appropriate postoperative management is important for reducing both complication and mortality rate.

关 键 词：结肠癌 急性肠梗阻 外科治疗 

分 类 号：R735.35[医药卫生—肿瘤]