结直肠癌致急性肠梗阻的外科治疗(附45例报告)  

Diagnosis and treatment of acute intestinal obstruction caused by colorectal cancer in 45 cases analysis

作　　者：刘维明[1,2] 李雪峰[1,2] 石志良[1,2] 韩复[1,2] 郭健[1,2] 彭健 

机构地区：[1]扬州大学第五临床医学院 [2]常熟市第二人民医院胃肠外科,江苏常熟2155000

出　　处：《结直肠肛门外科》2012年第4期241-243,共3页Journal of Colorectal & Anal Surgery

摘　　要：目的探讨结直肠癌所致急性肠梗阻的外科治疗方法。方法回顾分析2004年1月至2011年5月我院经手术治疗的结直肠癌并发急性肠梗阻45例患者的临床资料。结果手术治疗45例,其中行一期切除28例,Hartmann术9例,横结肠造瘘术1例,盲肠造瘘术2例,Miles术3例,乙状结肠双袢造瘘术2例。痊愈好转出院43例,死亡2例,术后并发症8例。结论重视对结直肠癌致急性肠梗阻的认识,根据术中探查的情况及患者的自身情况,选择合理的手术时机和适当的手术方式,加强围手术期处理是保证治疗成功,减少并发症的关键。Objective Explore acute intestinal obstruction caused by colorectal cancer diagnosis, treat- ment. Methods Review 2004.1-2011.05 years by our surgical treatment of colorectal concurrent acute in- testinal obstruction of the clinical data of 45 patients. Results 6 cases of colon obstruction right were per- formed stage I resection anastomosis; 8 cases of colon obstruction left six routine stage I resection anasto- mosis, a routine transverse colon colostomy, a diseased appendix routine colostomy; 8 cases of the sigmoid colon cancer 6 underwent radical stage I resection anastomosis, a diseased appendix routine colostomy, anastomotic fistula case, a death; 23 cases of colorectal cancer nine routine Dixon technique, the 8 routine Hartmann technique, the three Miles routine technique, the two cases both loops the sigmoid colon colos- tomy art, deaths. Conclusion Active perioperative and reasonable operation method were the assurances to treat acute intestinal obstruction caused by colorectal cancer.

关 键 词：结直肠癌 急性肠梗阻 手术方式 围手术期处理 

分 类 号：R735.3[医药卫生—肿瘤]