摘要
目的 探讨大肠癌致肠梗阻的外科处理方法。方法 分析 1995 1999年间 5 2例大肠癌致肠梗阻的外科治疗资料。结果 5 2例病人 ,Ⅰ期行右半结肠切除 9例 ;Ⅰ期行横结肠癌切除 4例 ;Ⅰ期行左半结肠或直肠上段癌切除 ,近端结肠造口 ,关闭远端结肠或直肠备Ⅱ期吻合 37例。肿瘤无法切除行乙状结肠造口 2例 (直肠癌 )。术后并发症发生率 15 3 % (8/5 2 ) ,围手术期病死率 3 8% (2 /5 2 )。结论 重视对结肠癌致肠梗阻的认识。合理选择手术方式 ,做好围手术期处理是减少并发症 ,提高疗效的重要措施。
Objective To study the surgical treatment of large bowel obstruction caused by colorectal carcinoma.Methods Retrospective analysis of the experience of surgical treatment for the large bowel obstruction caused by colorectal carcinoma in 52 patients from 1995 to 1999 was performed.Results In the 52 patients,the right hemicolectomy was performed in 9 patients;left hemicolectomy with proximal colon fistulization was performed in 37 patients;transvercolectomy was performed in 4 patients;sigmoid fistulization was performed in 2 patients for their rectum carcinoma couldn’t be resected.The postoperative complication rate was 15 3%(8/52),and perioperative mortality rate was 3 8%(2/52).Conclusion More attention should be paid to large bowel obstruction caused by colorectal carcinoma.Selecting rational colectomy and appropriate perioperative management is important for reducing both complication and mortality rate.
出处
《中国实用外科杂志》
CSCD
北大核心
2001年第2期100-101,共2页
Chinese Journal of Practical Surgery
关键词
大肠癌
肠梗阻
外科治疗
并发症
Colorectal carcinoma Large bowel obstruction Surgical treatment
