结直肠癌伴急性梗阻48例的外科治疗  

Surgical treatment of 48 patients with acute intestinal obstruction and colorectal carcinoma

作　　者：缪文忠[1] 荣国强[1] 黄凯平[1] 

机构地区：[1]江苏省常熟市第一人民医院普外科,215500

出　　处：《蚌埠医学院学报》2006年第6期641-642,共2页Journal of Bengbu Medical College

摘　　要：目的:探讨结直肠癌伴急性梗阻的术式选择。方法:回顾分析48例结直肠癌伴急性梗阻患者的临床资料。其中,行一期肿瘤切除吻合术24例,一期肿瘤切除吻合口外置术或Hartmann术16例,捷径手术或双腔造口术8例。结果:术后22例出现并发症,其中肺部感染10例,切口感染8例,腹腔感染2例,切口裂开2例。4例病死,围手术期病死率为8.3%,余44例均痊愈出院。结论:病情允许时,应当一期切除肿瘤行肠吻合术,积极的术前准备和术后处理、合理的手术方式对减少并发症、降低病死率有重要意义。Objective：To investigate the proper operation method for colorectal carcinoma associated with acute intestinal obstruction. Methods：The clinical data of 48 patients with colorectal carcinoma associated with acute intestinal obstnlction undergoing the surgical treatment from 1997 to 2006 were tetrospectivedly analyzed. Twenty-four patients underwent colectomy with one-stage anastomosis, 16 colectomy and the same pluged anastomotie stoma out of peritoneal cavity or Hartmann operation,8 double-cavity colostomy or by-pass. Results：Twenty-two patients experienced postoperative complications （45. 8%）, including lung infection in I0 patients, wound infection in 8, peritoneal cavity infection in 2 and disruption of wound in 2, The perioperative mortality was 8. 3% （ 4/48 ）. Conclusions：Under the probable conditions, eoleetomy with one-stage anatomasls should be performed first, The active preoperative preparation and intensive postoperative treatment, the correct operation methods are important for reducing morbidity and mortality.

关 键 词：结直肠肿瘤 肠梗阻 外科手术 

分 类 号：R735.35[医药卫生—肿瘤]