大肠癌癌性穿孔的诊断及治疗(附25例临床分析)  

Diagnosis and Treatment of the Perforation of the Colonrectal Careinoma (An Analysis of 25 Cases)

作　　者：蔡强[1] 田德太 杨玉广[1] 张敬智[2] 

机构地区：[1]山东省即墨市第三人民医院 [2]山东省青岛医学院附属医院

出　　处：《河南肿瘤学杂志》1999年第3期220-221,共2页Henan Journal of Oncology

摘　　要：目的探讨大肠癌癌性穿孔的诊断及治疗方法。方法回顾分析研究25例癌性穿孔临床资料。穿孔后出现急性弥漫性腹膜炎者17例，局部脓肿6例，结肠内瘘2例。13例行肿瘤切除术，8例行造口术，3例行捷径手术。结果25例中误诊为阑尾炎穿孔腹膜炎4例，阑尾周围脓肿3例，肠梗阻2例。13例肿瘤切除术后存活1年以上者9例，2年以上者6例，3年以上者3例，仅行结肠造口术或捷径手术者，术后存活期平均6个月。结论正确诊断及切除肿瘤是提高本病疗效的关键。Objective To discuss the diagnosis and treatment of the perforation of the colonrectal carcinoma.Meth ods 25 cases of perforated patients were analyzed retrospectively .Of the 25 cases,17 were manifested by acute diffused peritomitis,6 by absess,and 2 by colon intefistula. Tumor resection was performed in 13 cases. Colononostomy in 8 cases,and bypass in 3 cases.Results 4 of the 25 cases were misdiagnosed as perforation of acute appendicitis .3 as access of peri appendix,and 2 as ileus.In 9 out of 13 cases the lifetime after tumor resection was more than 1 year, in 6 cases more than 2years,in 3 cases more than 3 yare.The lifetime after colonostomy and bypass was 6 months in average. Conchusions The correct dignosis and tumor resection play a key role in prolongimg the lifetime of teh patients .[

关 键 词：大肠癌 穿孔 诊断 治疗 

分 类 号：R735.34[医药卫生—肿瘤]