摘要
目的 探讨大肠癌并发急性肠梗阻的外科治疗方法及效果。方法 回顾性分析 1997年10月～ 2 0 0 2年 10月 76例大肠癌并发急性肠梗阻行急症手术治疗者的临床资料 ,其中右半结肠癌并梗阻 2 3例 ,左半结肠癌和直肠并梗阻 5 3例。结果 76例均行手术治疗 ,其中行一期切除吻合 5 5例 (右半结肠一期切除吻合 19例 ,左半结直肠一期切除吻合 3 6例 )。术后发生吻合口瘘 2例 ,肺部感染 2例 ,伤口感染 6例 ,切口裂开 1例 ,总并发症发生率为 14 .5 %。除 1例死于多器官功能衰竭外其它病例均通过非手术治疗治愈 ,随访统计 1,3 ,5年生存率分别为 98.3 % ,5 5 % ,3 8.5 %。结论 一期切除吻合手术治疗大肠癌并肠梗阻是可行的 ,而合理地选择手术方式 ,正确的术中操作和围手术期处理对提高疗效 ,改善患者生活质量有所裨益。
Objective To exprole the effect of surgical management of obstructive colorectal carcinoma. Methods A restrospective analysis was made on the clinical data of 76 cases of acute obstructive colorectal carcinoma treated by emergent operation in Xiangya Hospital from October 1997 to October 2002.Among the 76 cases,there were 23 cases of right colon obstruction and 53 cases of left colon or rectal obstruction. Results All the 76 patients received opreation , 55 patients received one stage tumor resection and large intestinal anastomosis, including 19 in right colon and 36 in left colon or rectal obstruetion.Postoperative complications rate was 15.7%(11/76) in this series,including anastomotic leakage in 2, disruption of wound in 1, infection of incisional wound in 6, and pneumonia in 2.Expect one patient died of MSOF,the others were curred by non-operation therapy.The postoperative 1,3,5year survival rate was 98.3%,55%,38.5% in this series.Conclusions One stage resection and anastomosis is a feasible operation for obstructive colorectal carcinoma.Appropriate choice of the operative procedure, skillful operative technique,and prudential perioperative treatment can enhance the cuerative effect and the patients quality of life.
出处
《中国普通外科杂志》
CAS
CSCD
2003年第7期520-522,共3页
China Journal of General Surgery
