慢性放射性肠炎外科治疗的临床观察  

Surgical treatment of chronic radiation enterocolitis clinical observation

作　　者：陈中皓[1] 孙保军[1] 周欣峰[1] 

机构地区：[1]上海市长宁区中心医院普外科,上海200335

出　　处：《湖南中医药大学学报》2012年第10期37-38,共2页Journal of Hunan University of Chinese Medicine

摘　　要：目的探讨慢性放射性肠炎(CRE)外科治疗方法,以及各种外科治疗方法治疗后的临床疗效。方法对我院收治的45例CRE患者平均手术1～5次,依据不同治疗方法进行分组。其中,1期肠切除吻合患者21例,短路吻合术和结肠造口术患者17例,永久造瘘术7例,比较每组患者治疗后临床疗效。结果 45例临床治愈43例,死亡2例。其中,1期肠切除吻合术治疗,全部临床治愈;短路吻合术治疗,全部临床治愈,结肠造口术治疗痊愈5例,死亡2例。45例患者共治愈43例,死亡2例,有效率为95.6%。结论 CRE临床上常出现并发症,需要及时进行手术治疗。治疗时应根据患者机体情况和腹腔疾病状况对术式进行正确的选择,手术时病变部位的正确判断,是手术成功的关键。Objective Explore the surgical treatment of chronic radiation enteritis,and clinical efficacy in the treatment of a variety of surgical methods.Methods The 45 cases of chronic radiation enteritis patients in our hospital,the average surgery 1 to 5,grouped according to different treatment methods.Among them,an anastomosis in patients with intestinal resection and 21 cases of short circuit anastomosis and colostomy in patients undergoing 17 cases,seven cases of permanent colostomy,compare each group of patients with clinical efficacy.Results 45 patients were treated,the clinical cure of 43 cases,2 patient died.Among them,an anastomosis for bowel resection,all clinical cure;short circuit anastomosis and colostomy treatment,all clinical cure,permanent colostomy cured six cases,and 1 died;45 patients were cured 43 cases,death 2 cases,the efficiency of 95.6%.Conclusion Chronic radiation enteritis common clinical complications,the need for timely surgical treatment.The correct choice of treatment should be according to the patients body and peritoneal disease status on surgical,surgical lesion of the right to judge,is the key to successful operation.

关 键 词：慢性放射性肠炎 外科治疗 临床观察 

分 类 号：R656[医药卫生—外科学] R730.55[医药卫生—临床医学]