结肠次全切除逆蠕动盲直吻合术治疗多原发大肠癌的疗效初探  

Subtotal Colectomy with Anti -peristaltic Cecoproctostomy in the Treatment of Multiple Primary Colorectal Carcinoma

作　　者：陶琦[1] 江从庆[2] 张东平[1] 刘永安[1] 

机构地区：[1]荆州市第一人民医院,湖北荆州434000 [2]武汉大学中南医院,湖北武汉430071

出　　处：《医学新知》2015年第6期402-404,共3页New Medicine

摘　　要：目的初步探讨结肠次全切除逆蠕动盲直吻合术治疗多原发大肠癌的疗效。方法回顾性分析2012年1月～2014年9月7例多原发大肠癌患者临床资料，其中5例同时性大肠癌，2例异时性大肠癌患者，均行结肠次全切除、逆蠕动盲直吻合术。术后随访患者复发率、大便情况及生存质量等，平均随访期3年。结果随访期间全组无死亡及复发病例。术后1年平均每天大便次数为2次，呈固体状，无患者运用止泻药。排便和控便功能良好。患者生存质量评分接近正常。结论初步疗效显示结肠次全切除逆蠕动盲直吻合术治疗部分多原发大肠癌安全有效。Objective To investigate the therapeutic effect of subtotal colectomy with anti - peristaltic cecoproctostomy in the treatment of multiple primary colorectal carcinoma, Methods Clinical data of 5 patients with synchronous colorectal carcinoma and 2 patients with metachronous colorectal carcinoma from Jan. 2012 to Sep. 2014 underwent subtotal colectomy with anti - peristaltic cecoproctostomy were retrospectively analyzed. The postoperative recur- rence rate,bowel frequency and quality of life were followed up for 3 years on average. Results There was no death or recurrence in the follow - up period. Bowel frequency was twice per day 1 year after operation with solid stool. No patients used antidiarrheal. Defecation and bowel control were good. Score of survival quality was closed to normal. Conclusion Preliminary efficacy shows that subtotal colectomy with anti -peristaltic cecoproctostomy is safe and effective in the treatment of multiple primary colorectal carcinoma.

关 键 词：结肠次全切除 逆蠕动盲直吻合 多原发大肠癌 

分 类 号：R735.34[医药卫生—肿瘤]