急性癌性结肠梗阻的外科治疗  

Surgical treatment of acute cancerous colonic obstruction

作　　者：王子岩[1] 王振杰[1] 郑士友[1] 

机构地区：[1]蚌埠医学院附属医院急诊外科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2002年第5期403-404,共2页Journal of Bengbu Medical College

摘　　要：目的 :探讨急性癌性结肠梗阻的围手术期处理与手术方式的选择。方法 :回顾性分析 4 7例急性癌性结肠梗阻的外科治疗。结果 :一期切除、吻合 38例 ,一期切除、二期吻合 6例 ,肿瘤无法切除行近端肠造口 3例。术后并发症发生率 15 % ,无吻合口漏及死亡病例发生。结论 :提高对急性癌性结肠梗阻的认识、合理选择手术方式、做好围手术期处理 ,是减少并发症。Objective:To investigate into the perioperative management and surgical options for acute carcinomatous colonic obstruction.Methods:Forty seven patients with acute carcinomatous colonic obstruction were analysed retrospectively.Results:Of the 47 patients,38 underwent one stage resection and anastomosis,6 patients had one stage resection and reoperation anastomosis,3 patients were performed proximal colon fistulization as their carcinoma couldn't be resected.The postoperative complication rate was 15% and there were no deaths or leaks.Conclusions:Better knowledge of acute carcinomatous colonic obstruction,rational choice of colectomy and appropriate perioperative management are essential for the reduction of complication and mortality rate.

关 键 词：急性癌性结肠梗阻 外科手术 治疗 

分 类 号：R735.35[医药卫生—肿瘤]