大肠癌外科急诊的诊治探讨  

Study of diagnosis and treatment of surgical emergency on colorectal cancer

作　　者：王矛[1] 吴彬[1] 

机构地区：[1]安徽省蚌埠市第三人民医院普外科,233000

出　　处：《淮海医药》2001年第6期450-451,共2页Journal of Huaihai Medicine

摘　　要：目的　探讨大肠癌外科急诊的诊断、术前准备及手术的选择。方法　回顾性分析我院近 10年来大肠癌外科急诊与治疗情况。结果　 期根治性切除吻合 36例 ,占 5 4.5 % (36 /6 6 )。分期根治性手术 19例 ,占 2 8.7%(19/6 6 )。Hartmann术 3例 ,占 4.5 % (3/6 6 )。 11例行单纯造口术 ,占 16 .6 % (11/6 6 )。 6 4例痊愈出院 ,吻合口瘘 1例 ,2例死亡。结论　对大肠癌外科急诊加强术前诊断和准备 ,完善术中处理 ,正确选择术式可提高大肠癌 期肿瘤切除和吻合率 。Objective To study the diagnosis,preparation and operation of surgical emergency on colorectal cancer.Methods The experience of treating colorectal cancer surgical emergency in the past ten years was analyzed retrospectively.Results Thirty six cases underwent one stage radical resection and anastomosis(54.5%,36/66).Two stage radical resection were performed in 19 cases(28.7%,19/66),and Hartmann operation in 3,simple artificial anus in 11.Sixty four cases were cured.Fistula at anastomosis end occured in 1 case and 2 patients died.Conclusion It can raise the rate of one stage radical resection and anastomosis of the colorectal cancer surgical emergency and improve the prognosis to enhance the diagnosis and preparation before operation,and perfect the treatment in the operation,and select the reasonable resection.

关 键 词：大肠癌 外科手术 急症 

分 类 号：R735.34[医药卫生—肿瘤]