CAJ | 학술논문

目的：探讨外科手术治疗结肠癌合并肠梗阻的临床疗效的意义。方法：以139例行外科手术治疗结肠癌合并肠梗阻的的患者为研究对象，行分期手术共有66例，其中有23例早期手术病例，12例因低蛋白血症、合并下消化道大出血、肠穿孔、并发肠部分坏死、弥漫性腹膜炎而行急诊手术。行一期手术73例，其中横结肠肿瘤18例，回盲部及结肠肝曲肿瘤30例，结肠脾曲及乙状结肠肿瘤15例，直肠上端肿瘤4例。两组患者在病程、性别以及年龄均无统计学意义，P＞0．05。结果：经过手术后，全组病例均痊愈出院；一期手术患者的住院费用较低、术后并发症率较小。结论：行一期外科手术治疗结肠癌合并肠梗阻，值得临床推广与应用。
목적：탐토외과수술치료결장암합병장경조적림상료효적의의。방법：이139례행외과수술치료결장암합병장경조적적환자위연구대상，행분기수술공유66례，기중유23례조기수술병례，12례인저단백혈증、합병하소화도대출혈、장천공、병발장부분배사、미만성복막염이행급진수술。행일기수술73례，기중횡결장종류18례，회맹부급결장간곡종류30례，결장비곡급을상결장종류15례，직장상단종류4례。량조환자재병정、성별이급년령균무통계학의의，P＞0．05。결과：경과수술후，전조병례균전유출원；일기수술환자적주원비용교저、술후병발증솔교소。결론：행일기외과수술치료결장암합병장경조，치득림상추엄여응용。
Objective:To investigate the clinical effect of surgical operation in treatment of colon cancer with intestinal obstruction .Method:139 cases of surgical operation in the treatment of colon cancer compli-cated with intestinal obstruction patients as the research object , for staging operation a total of 66 cases, in-cluding 23 cases of early operation cases , 12 patients with hypoproteinemia , combined with lower gastrointes-tinal bleeding , intestinal perforation , intestinal necrosis , diffuse peritonitis and emergency operation .73 ca-ses underwent stage one operation , including 18 cases of colon cancer , the ileocecal valve and the hepatic flexure of the colon tumors in 30 cases, 15 cases of splenic flexure of colon and sigmoid colon cancer , 4 ca-ses of rectal tumor of upper .Patients in the two groups had no statistical significance in the course of the dis-ease, sex and age, P>0.05.Result:After operation, all patients were cured;hospitalization expenses low , postoperative complication rate in patients with a small operation .Conclusion: Stage one surgical operation in the treatment of colon cancer complicated with intestinal obstruction , is worth the clinical promotion and application .