结直肠良恶性梗阻诊治策略  

Strategies for diagnosis and treatment of benign and malignant colorectal obstruction

作　　者：张宗明[1] 邓海[1] 张翀[1] 于宏伟 刘卓[1] 刘立民[1] 万柏江[1] 朱明文[1] Zong-Ming Zhang Hai Deng Chong Zhang Hong- Wei Yu Zhuo Liu Li-Min Liu Bai-Jiang Wan Ming- Wen Zhu(Department of General Surgery, Beijing Electric Power Hospital, State Grid Corporation of China, Capital Medical University, Beijing 100073, China)

机构地区：[1]首都医科大学北京电力医院普外科,北京市100073

出　　处：《世界华人消化杂志》2017年第29期2597-2604,共8页World Chinese Journal of Digestology

基　　金：国家电网公司科技项目;No.SGHB0000AJJS1400182;北京市科技重大专项生物医药与生命科学创新培育研究;No.Z171100000417056~~

摘　　要：结直肠梗阻是外科常见的急腹症之一,因病因复杂、病情重、进展快,需要及时诊断和恰当治疗.本文通过文献检索,结合作者的临床实践经验,在全面和系统分析结直肠良恶性梗阻的病因、诊断方法和治疗措施基础上,总结出结直肠良恶性梗阻诊治要点在于:深入探讨结直肠梗阻的良恶性病因,灵活应用泛影葡胺结肠造影、CT仿真内窥镜和结肠镜检查,充分发挥经结肠镜引流的术前桥梁作用,严格掌握手术指征,精准实施手术操作,积极采取对症治疗措施,对于提高结直肠良恶性梗阻的诊断水平和治疗效果具有重要意义.Colorectal obstruction is one of the most common acute abdominal diseases in surgery department. Because of complex etiological factors, severe condition, and rapid progression, timely diagnosis and proper treatment are necessary for colorectal obstruction. By searching the literature and based on our experience in clinical practice, we performed a comprehensive and systematic analysis of the etiology, diagnosis and treatment of benign and malignant colorectal obstruction, and summarize the main points of diagnosis and treatment of benign and malignant colorectal obstruction as follows： identifying the etiology of benign and malignant colorectal obstruction; flexible application of colonography with meglumine diatrizoate, CT virtual endoscopy, and colonoscopy; preoperative colonoscopic drainage as a bridge to surgery; strict control of surgical indication; precise surgical procedures; and active symptomatic treatment. These measures are of important significance in improving the diagnosis and treatment of benign and malignant colorectal obstruction.

关 键 词：结直肠梗阻 肠梗阻导管 球囊扩张 结肠支架 外科手术 

分 类 号：R735.34[医药卫生—肿瘤]