摘要
目的总结结肠癌合并急性肠梗阻的诊治体会。方法对我院自1989-11～2009-12间,收治的结肠癌合并急性肠梗阻87例患者的一般资料、癌肿部位和梗阻原因、癌肿病理分型、术中处理方法、术式选择和术后恢复情况等方面,进行归纳、整理。结果87例患者中,男性50例。50岁以上者占90%。腹痛平均发作时间为3.5d,术前明确诊断62例。癌肿位于左半结肠60例。因癌肿直接引起梗阻者80例。Ⅰ期根治切除81例者中,行Ⅰ期吻合的有61例患者做肠管灌洗。其中,1例出现吻合口瘘,1例围手术期死亡。结论结肠癌合并急性肠梗阻患者行Ⅰ期根治切除吻合术,安全、有效。
Objective Colon cancer with acute intestinal obstruction is one of the surgical acute abdominal syndromes. We retrospectively reviewed and analyzed 87 patients in order to look for the better methods for diagnosis and treatment. Methods 87 patients with colon cancers and acute intestinal obstruction from Nov 1989 to Dec 2009 were analyzed in terms of clinical data、location of the tumors、reasons of obstruction、pathological types、treatments in the operation and the recovery after operation. Results Among 87 patients,50 were male,while 90% were over 50 years old,the average time of having pain are 3.5 days,and there are 62 ones diagnosed correctly before surgery,60 patients＇ cancer located in left colon,80 patients sufferred acute obstruction directly by cancer,81 ones treated by Ⅰphase excise,61 patients applied intestinal lavage and there occurred one anastomotic leakage and one death. Conclusion It might be safe for patients with colon cancer and acute intestinal obstruction to apply Ⅰphase excise and anastomy.
出处
《黑龙江医学》
2010年第3期215-216,共2页
Heilongjiang Medical Journal
关键词
结肠癌
急性肠梗阻吻合术
Colon cancer
Acute intestinal obstuction
