大肠癌致肠梗阻手术Ⅰ期切除吻合的疗效分析  

作　　者：曹德飞[1] 杨贯民 

机构地区：[1]山东兖州市人民医院普外科,272100

出　　处：《中国社区医师（医学专业）》2012年第26期54-55,共2页

摘　　要：目的:观察分析大肠癌致肠梗阻手术Ⅰ期切除吻合的临床疗效,总结其临床应用价值。方法:收治大肠癌致肠梗阻患者48例,皆采取Ⅰ期切除吻合术治疗,对其临床病历资料进行回顾性分析。结果:48例患者Ⅰ期切除吻合44例,各种捷径吻合4例,经治疗后显效25例,有效20例,无效3例,并发症3例(为吻合口瘘,后采取保守治疗治愈),无死亡案例,随访2年的生存率89.8%(44/49),总有效率93.4%。结论:大肠癌致肠梗阻手术Ⅰ期切除吻合的临床疗效确切,能够有效提高远期生存率,减少并发症发生,避免二次手术,安全可靠。Objective：To observe and analyze a bowel obstruction caused by surgery of colorectal resection and anastomosis of clinical efficacy, summary of its clinical value. Methods： The hospital April 2007 to April 2009 to obstruction caused by colorectal cancer in 48 patients were taken to a resection and anastomosis for treatment, clinical medical records were retrospectively analyzed. Results：48 patients a resection and anastomosis of the 44 cases, all kinds of shortcuts anastomosis in 4 patients after treatmcnt,25 cases markedly effective in 20 cases ,3 cases, three cases of complications （ anastomotie leakage, treated conservatively cure）, no deaths were followed up for 2 years survival rate was 89.8% （44/49）,the total effective rate was 93.4%. Conclusion： The clinical efficacy of resection and anastomosis in colorectal obstruction caused by surgery an exact, can effectively improve the longterm survival and reduce complications occur, to avoid the second surgery, safe, reliable, worthy of reasonable promotion

关 键 词：大肠癌 肠梗阻 手术 Ⅰ期切除吻合 

分 类 号：R735.35[医药卫生—肿瘤]