肿瘤复发转移所致肠梗阻的手术治疗  

Surgical Treatment for Malignant Bowel Obstruction from Recurrent Carcinoma

作　　者：杨士民[1,2] 周振理[2] 

机构地区：[1]天津中医药大学研究生院,天津300193 [2]天津市南开医院胃肠外科,天津300100

出　　处：《中国中西医结合外科杂志》2015年第1期6-10,共5页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：国家中医药管理局"十一五"重点专科(脾胃病科)项目(02H1X1L206K205)

摘　　要：目的:总结肿瘤复发转移所致肠梗阻的临床特点及手术治疗方法。方法:对35例肿瘤复发转移导致肠梗阻患者均行手术治疗,其中小肠侧侧吻合术12例,小肠结肠侧侧吻合术5例,小肠侧侧吻合、小肠结肠侧侧吻合术3例,肠切除、肠吻合术4例,肠切除、肠吻合、肠排列术3例,肠切除、肠造口术2例,小肠侧侧吻合术、结肠造口术2例,肠造口术3例,开关术1例,观察治愈或好转率、无效率、死亡率及并发症等。结果:本组35例中痊愈或好转28例,自动出院4例,死亡3例。并发切口感染6例,腹腔感染5例,肠瘘3例。结论:手术是肿瘤复发转移所致肠梗阻治疗的重要手段,并发症以伤口感染、腹腔感染及肠瘘多见。Objective To analyze the clinical characteristics and surgical treatment for malignant bowel ob-struction from recurrent carcinoma.MethodsAll 35 patients with malignant bowel obstruction from recur-rent carcinoma had surgical treatment. The surgical approaches included： small bowel anastomosis in 12 cases,small bowel-colon anastomosis in 5 cases, small bowel anastomosis and small bowel-colon anastomosis in 3 cas-es, small bowel resection and anastomosis in 4 cases,small bowel resection and anastomosis and intestinal plica-tion in 3 cases,small bowel resection and enterostomy in 2 cases, small bowel anastomosis and colostomy in 2 cases, enterostomy in 3 cases, and open-close operation in 1 case. Recovery and improvement rate, invalid rate,mortality, postoperative complications were observed.ResultsThere were 28 cases who were recovered andimproved, and 4 other cases got to exacerbation, and 3 other cases dead. There were some cases suffered frompostoperative complications,including 6 with wound infection,5 with abdominal infection and 3 with fistula.ConclusionSurgical intervention is currently an important method to treat malignant bowel obstruction fromrecurrent carcinoma. Wound infection and abdominal infection and fistula were the most common postoperativecomplications.

关 键 词：肿瘤复发转移 肠梗阻 手术治疗 

分 类 号：R574.2[医药卫生—消化系统]