左半结肠癌急性肠梗阻的外科治疗  

The Surgical Treatment of Acute Obstructive Left Colonic Carcinoma

作　　者：王春祥[1] 张始业[1] 王培林[2] 

机构地区：[1]济南市第三人民医院普外科,250101 [2]山东大学第二医院普外科,250033

出　　处：《大肠肛门病外科杂志》2005年第2期114-115,共2页Journal of Coloproctological Surgery

摘　　要：目的:探讨左半结肠癌急性肠梗阻的合理治疗措施。方法:回顾性分析我院普外科1999年6月至2004年6月手术治疗的左半结肠癌急性肠梗阻136例的临床资料。结果:136例病人中,112例行肿瘤一期切除吻合术,切口感染4例;16例行Hartmanns手术,4例行永久性结肠造口术,无并发症;4例行捷径手术,肠吻合口瘘1例。结论:左半结肠癌急性肠梗阻病人,手术采取何种术式,要据病人具体病情,综合分析。Objective： To investigate the rational treatment of acute obstructive left colonic carcinoma. Methods：The clinical data of 136 cases with acute obstructive left colonic carcinoma treated by operation from June, 1999 to June, 2004 in the Third People＇ Hospital of Jinan were analyzed. Results ：Of the 136 cases, 112 cases received primary hemieoleetomy and anastomosis,and 4 cases＇ incision were infected; 16 cases underwent Hartmanns operation, and 4 cases underwent perpetual eolostomy with no complications4 cases received bypass operation and postoperative anastomie leakage was found in one case. Conclusion：selecting surgical procedure for patient with acute obstructive left colonic carcinoma ,must make synthetical analysis according to individual condition.

关 键 词：左半结肠癌 肠梗阻 灌洗 

分 类 号：R735.35[医药卫生—肿瘤] R574.2[医药卫生—临床医学]