肠道灌洗法在老年性结肠癌并肠梗阻手术中的应用  

Application of intestinal tract lavation in older acute intestinal obstruction caused by colon carcinoma

作　　者：管荣祥[1] 张国梁[1] 

机构地区：[1]镇江市第一人民医院,江苏镇江212004

出　　处：《中外医学研究》2010年第28期12-13,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的探讨结肠癌并发急性肠梗阻的外科处理方法。方法回顾分析笔者所在医院1994年3月。2009年12月收治的结肠癌并发急性肠梗阻36例的临床资料，本组病例均行术中肠道灌洗。结果本组发生术后感染3例，无一例出现吻合口嵝。结论在对肿瘤近端结肠进行充分灌洗的情况下，结肠癌并发急性肠梗阻行一期切除吻合是可行的，正确的术中操作和围手术处理有助于提高疗效和降低病死率。Objective To explore the operative ways on colon carcinoma with complicated acute intestinal obstruction. Methods Thirty - six cases of acute intestinal obstruction caused by colon carcinoma from 1994 to 2009 in the Frist People＇s Hospital of Zhenjiang were reviewed. Results None of 36 cases were complicated with anastomotic leakage. There was no operative mortality and only 3 eases were com- plicated with infection of incisional wound. Conclusion Due to sufficient lavation for the proximate colon of tumor,one - stage resection and anastomosis is a feasible operation for obstructive hemicolonic carcinoma. Appropriate choice of the operative procedures and prudential periop- erative treatment can enhance the curative effect and decrease the mortality.

关 键 词：结肠肿瘤 肠梗阻 冲洗法 酚酞 

分 类 号：R735.35[医药卫生—肿瘤]