胃癌根治术后继发急性小肠扭转临床分析  

Clinical Analysis of Acute Small Bowel Volvulus after Radical Gastric Cancer

作　　者：刘刚[1] 吴晓阳[1] LIU Gang;WU Xiao-yang(Gastrointestinal Surgery Department,Kunshan First People's Hospital,Jiangsu University,Kunshan 215300,Jiangsu,China)

机构地区：[1]江苏大学附属昆山市第一人民医院胃肠外科,江苏昆山215300

出　　处：《医学信息》2020年第18期188-190,共3页Journal of Medical Information

摘　　要：目的探讨胃癌手术后继发急性小肠扭转的病因及诊治原则。方法回顾性分析2011年4月~2020年4月我院收治的7例胃癌根治术后继发急性小肠扭转患者的临床资料,分析其手术方法及临床结局。结果5例为全胃切除术,2例为远端胃部分切除术(Billroth-Ⅱ),入院诊断均考虑小肠扭转,均行手术治疗并证实为肠扭转,其中6例患者康复出院,术后随访至今均无复发,1例患者术后24 h因感染性休克死亡。结论胃癌术后继发急性小肠扭转病情发展迅速,早期诊断和及时手术是治疗的关键。Objective To investigate the etiology and principles of diagnosis and treatment of acute small bowel volvulus after gastric cancer surgery.Methods A retrospective analysis of the clinical data of 7 patients with acute small bowel volvulus after radical resection of gastric cancer admitted to our hospital from April 2011 to April 2020,and analyzed their surgical methods and clinical outcomes.Results 5 cases underwent total gastrectomy and 2 under partial distal gastrectomy(Billroth-Ⅱ).Small intestinal volvulus was considered in the diagnosis of admission.All patients were treated with surgical treatment and proved to be intestinal volvulus.6 patients recovered and were discharged after surgery.There had been no recurrence since follow-up,and 1 patient died of septic shock 24 h after operation.Conclusion The acute small bowel volvulus secondary to gastric cancer develops rapidly.Early diagnosis and timely surgery were the key to treatment.

关 键 词：胃癌根治术 小肠扭转 感染性休克s 

分 类 号：R619.9[医药卫生—外科学]