癌性结肠梗阻术式选择的临床研究  

Operation therapies for colorectal cancer causing intestinal obstruction

作　　者：王晖[1] 所荣增[1] 何彬[1] 

机构地区：[1]天津医科大学第二医院肛肠外科,300211

出　　处：《中国医药》2010年第6期553-554,共2页China Medicine

摘　　要：目的 探讨结直肠癌引起肠梗阻的手术治疗方法.方法 回顾性分手术治疗癌性肠梗阻50例患者资料,并对围手术期的治疗和手术后疗效进行评估.结果 一期切除吻合21例,Hartmann术11例,全结肠、膀胱部分切除回肠造口术1例,捷径术和单纯造口术17例,术后切口感染3例,无吻合口瘘及死亡患者.结论 结直肠癌引起的肠梗阻在谨慎选择手术方式的基础上可考虑一期切除吻合.Objective To discuss the opteration therapies of colorectal cancer causing intestinal obstruction.Methods Retrospectively analyze 50 operation therapy cases of colorectal cancer causing intestinal obstruction.Treatment of preoperative period and curative effect of postoperation were evaluated.Results One-stage resection and primary anastomosis were performed in 21 eases.Eleven patients underwent Harlmann procedure The whole colon and partial bladder ileostomy were performed in 1 case.Seventeen cases were treated with shortcuts and simple ostomy surgery.Wound infection occurred in 3 eases, as a surgical complication, and no anastomotie leakage appeared.There was no surgical death in the cases.Conclusions One-stage resection and anastomosis can be considered to treat intestinal obstruction caused by eolorectal cancer in the careful selection of cases.

关 键 词：肠梗阻 结直肠癌 手术 

分 类 号：R574.2[医药卫生—消化系统]