结直肠癌并发肠梗阻56例诊治分析  

Diagnosis and treatment for colorectal cancer complicated with obstruction (with an analysis of 56 cases)

作　　者：徐鑫[1] 俞毅君[1] 

机构地区：[1]杭州师范学院附属医院普外科,浙江杭州310015

出　　处：《杭州师范学院学报（医学版）》2006年第4期259-260,268,共3页Journal of Hangzhou Teachers College :Medical Edition

摘　　要：目的探讨结直肠癌并发肠梗阻的诊断和治疗。方法回顾性分析56例结直肠癌并发肠梗阻患者的临床资料。结果一期肿瘤切除吻合术16例,一期切除肿瘤双腔造口术13例,Hartm ann手术9例,捷径手术或造瘘术18例。术前诊断率为53.5%,术后主要并发症为切口感染?切口裂开、肺部感染和多器官功能衰竭,围手术期病死率为1.8%。结论良好的术前准备和术后处理,合理的手术方式是减少并发症,降低病死率的关键。病情允许时,一期切除肿瘤行肠吻合术是可行的。Objective To investigate the diagnosis and treatment for colorectal cancer complicated with obstruction. Methods The clinical data of 56 cases with colorectal cancer complicated with obstruction were analyzed retrospectively. Results 16 patients were performed by Stage I tumor resection and anastomosis. 13 cases were performed by Stage I tumor resection and double barrel colostomy. 9 cases were performed by Hartmann operation. 18 cases were treated by bypass operation or colostomy. The pre-operative diagnosis rate was 53.5% , and the main complications included incision infection, disruption of wound, pneumonia and MSOF. Perioperative mortality rate was 1.8%. Conclusion Enough preoperative preparations, postoperative treatment and rational surgical procedure are the key to reduce postoperative complications and mortality rate for patients. If possible, one stage tumor resection and anastomosis is feasible .

关 键 词：结直肠肿瘤 肠梗阻 

分 类 号：R735.34[医药卫生—肿瘤]