结肠癌急性梗阻I期吻合术中顺行性回肠管状造瘘的应用  

Application of anterograde tubular ileal fistula in I stage anastomosis of colon cancer with acute obstruction

作　　者：贾树范[1] 赵传杰[1] 高恒岭[1] 刘茂荣[1] 李树亮[1] 

机构地区：[1]山东省聊城市第二人民医院普通外科 ,山东临清252601

出　　处：《中国医师进修杂志》2011年第20期25-26,共2页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨结肠癌急性梗阻I期吻合术中顺行性回肠管状造瘘的应用可行性。方法对80例结肠癌急性梗阻患者采取I期吻合术中顺行性回肠管状造瘘，并进行回顾性分析。结果80例患者全部治愈出院，无吻合口瘘、肠瘘、腹腔感染等严重并发症。结论正确掌握结肠癌急性梗阻的手术时机、灌洗方法，做好围手术期处理，选择顺行性回肠管状造瘘，I期切除吻合术是安全可行的。Objective To investigate the feasibility of application of anterograde tubular ileal fistula in I stage anastomosis of colon cancer with acute obstruction. Method Eighty patients of colon cancer with acute obstruction who treated with anterograde tubular ileal fistula in I stage anastomosis were analyzed restropectively. Result Clinical observation showed that 80 patients were cured and discharged, no one did occur anastomotie leakage, abdominal abscess, and other serious complications. Conclusion If correctly graspe the timing of operation for colon cancer with acute obstruction, irrigation methods, good perioperative management,select the anterograde tubular ileal fistula, I stage resection and anastomosis is safe and feasible.

关 键 词：结肠肿瘤 结肠假性梗阻 I期手术 

分 类 号：R735.35[医药卫生—肿瘤]