老年人大肠癌梗阻穿孔的外科治疗（附26例分析）  

Surgical Treatment of Intestinal Obstruction and Perforation due to Colorectal Carcinoma in Senile Patients：Analysis of 26 Cases

作　　者：李培寿 

机构地区：[1]浙江省缙云县人民医院,浙江缙云321400

出　　处：《中国肛肠病杂志》2007年第10期26-27,共2页Chinese Journal of Coloproctology

摘　　要：为探讨老年人大肠癌穿孔及其梗阻造成近端肠管穿孔手术方式的选择，回顾分析1996午6月至2005年6月26例结肠癌穿孔及其梗阻造成近端肠管穿孔的治疗过程。结果显示，右半结肠癌穿孔均行右半结肠切除一期吻合，术后恢复顺利；左半结肠癌穿孔及其梗阻造成近端肠管穿孔大多数行Hartmann手术，1例术后死于呼吸功能衰竭。结果表明，右半结肠癌穿孔宜行右半结肠切除一期吻合术。左半结肠癌穿孔及其梗阻造成近端肠管穿孔，根据具体情况选择适当术式，大多数宜采用Hartmann手术。The clinical data of 26 patients who had suffered from colorectal carcinoma and the resulting intestinal obstruction ＆ perforation of the adjacent segment then undergone surgical treatment were analized in an attempt take a better choice of surgical procedure. All the cases with right hemicolon carcinoma and perforation underwent right hemicolectomy with primary anastomosis, and postoperative recovery was good;while most of cases with left hemicolon carcinoma and obstruction ＆ perforation underwent Hartmann procedure,and one case was dead of postoperative respiratory failure. It is suggested that right hemi- colon with primary anastomosis is a better option for patients with right hemicolon carcinoma and perforation,and proper procedures should be selected for the surgical treatment（usually the Hartmann procedure） of left hemicolon carcinoma and the resulting obstruction ＆ perforation.

关 键 词：结肠肿瘤 肠穿孔 老年人 

分 类 号：R735.350.6[医药卫生—肿瘤]