外科治疗结肠癌致急性肠梗阻的疗效观察  

Observation on surgical treatment effect of acute intestinal obstruction caused by colon cancer

作　　者：赵建成[1] 闫立新[1] 郗杰[1] 陈洪波[1] 

机构地区：[1]新汶矿业集团莱芜中心医院外二科,271103

出　　处：《中国实用医药》2011年第26期13-15,共3页China Practical Medicine

摘　　要：目的探讨结肠癌并发急性肠梗阻的外科治疗方法,观察外科治疗结肠癌致急性肠梗阻的临床疗效。方法采用回顾性分析方法,分析我院收治的结肠癌并发急性肠梗阻的临床资料。探讨80例患者的外科治疗方法及效果。其中右半结肠癌并发梗阻24例,左半结肠癌和直肠癌并梗阻56例。结果 80例均行外科治疗,其中64例行结肠一期切除吻合术,包括右半结肠癌并发梗阻24例,左半结肠癌和直肠癌并梗阻40例;12例采用分期手术;4例行一期造瘘、二期肿瘤切除吻合术。术后并发吻合口瘘2例,肺部感染2例,切口感染4例,手术并发症发生率10%(8/80)。随访统计0.5、1、3年的生存率分别为:89%,75%,59%。结论手术治疗结肠癌并肠梗阻临床疗效明显,Ⅰ期切除吻合手术治疗结肠癌并梗阻是可行的,预后良好,得临床推广。Objective To investigate the treatment strategies of acute intestinal obstruction caused by colon cancer, and observe the surgical treatment effect above it. Methods Analyzed the clinical data of colon carcinoma union intestinal obstruction patients in our hospita1, Explored the effect of surgical treatment. Among the 80 cases,there were 24 cases of right colon obstruction and 56 cases of left colon or rectal obstruction. Results All the 80 patients received operation,64 patients received one stage tumor resection and large intestinal obstruction,including 24 in right colon and 40 in left colon or rectal obstruction.12 patients underwent staging operation,4 patients underwent stage I colostomy,stage II tumor resection and anastomosis. Postoperative complications rate was 10%（8/80）in this series,including anastomotie leakage in 2 cases,pneumonia in 2 cases, infection of incisional wound in 4 cases.The postoperative 0.5, 1,3year survival rates were 89%,75%, 59% in this series. Conclusion The clinical curative effect of colon carcinoma union intestinal obstruction patients by operation is patency, one stage resection and anastomosis is a feasible operation for obstructive colorectal carcinoma, prognosis is good,it is worthy for clinical qpplication.

关 键 词：结肠癌 肠梗阻 外科治疗 

分 类 号：R735.35[医药卫生—肿瘤]