大肠癌并发急性肠梗阻的外科治疗  

Surgical management of obstructive colorectal carcinoma

作　　者：王惟[1] 

机构地区：[1]安庆市第一人民医院,安徽246000

出　　处：《安徽卫生职业技术学院学报》2008年第2期40-41,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨大肠癌并发急性肠梗阻的外科治疗方法及效果。方法:回顾性分析36例大肠癌并发急性肠梗阻行急诊手术者的临床资料。其中,右半结肠癌并发梗阻8例,左半结肠癌和直肠癌并发梗阻28例。结果:36例均行手术治疗,其中行一期切除吻合32例,总并发症发生率为13.9%,除1例死于多器官功能衰竭外,其他病例均通过非手术治疗治愈。结论:一期切除吻合手术治疗大肠癌并发肠梗阻是可行的。Objective To investigate the effect of surgical management Methods A retrospective analysis was made on the clinical data of 36 cases of obstructive colorectal carcinoma. of acute obstructive colorectal carcinoma treated by emergent operation in the First People＇s Hospital of Anqing City from October 1995 to October 2007. Among the 36 cases, there were 8 cases of right colon obstruction and 28 cases of left colon or rectal obstruction. Result All the 36 patients received operation, 32 patients received one stage tumor resection and large intestinal anastomosis, including 7 in right colon and 25 in left colon or rectal obstruetion. Postoperative complications rate was 13.9%（5/36）, Expect one patient who died of MSOF, all were cured by non-operation therapy. Conclusions One stage resection and anastomosis is a feasible operation for obstructive colorectal carcinoma. Appropriate choice of the operative procedure, skillful operative technique and prudential preoperative treatment can enhance the curative effect and the patients＇ quality of life.

关 键 词：结直肠肿瘤/并发症 肠梗阻/病因学 肠梗阻/外科学 

分 类 号：R735.3[医药卫生—肿瘤]