CAJ | 학술논문

目的探讨结、直肠癌并急性肠梗阻的外科处理方法,验证“结肠前早期肠内营养支持”这一新方法在结直肠肿瘤并急性肠梗阻术后的可行性及效果.方法回顾分析我院自2007年9月至2012年9月收治的78例结、直肠癌并急性结肠梗阻病例,观察术后各项并发症(包括切口感染、腹腔脓肿、吻合口漏和肺炎等)发病率.结果 62例患者行根治性手术并一期吻合,均痊愈出院,无死亡病例,术后出现并发症2例,全部患者无吻合口漏、引流口漏等并发症.结论结、直肠癌并急性肠梗阻术中灌洗并一期切除吻合是安全有效的,而术后早期应用肠内营养,能更好的解决围手术期营养不良,减少术后并发症,防止吻合口漏,提高手术成功率.
목적 탐토결、직장암병급성장경조적외과처리방법,험증“결장전조기장내영양지지”저일신방법재결직장종류병급성장경조술후적가행성급효과.방법 회고분석아원자2007년9월지2012년9월수치적78례결、직장암병급성결장경조병례,관찰술후각항병발증(포괄절구감염、복강농종、문합구루화폐염등)발병솔.결과 62례환자행근치성수술병일기문합,균전유출원,무사망병례,술후출현병발증2례,전부환자무문합구루、인류구루등병발증.결론 결、직장암병급성장경조술중관세병일기절제문합시안전유효적,이술후조기응용장내영양,능경호적해결위수술기영양불량,감소술후병발증,방지문합구루,제고수술성공솔.
Objective To investigate the method of surgical treatment of acute intestinal obstruction caused by colorectal cancer,and affirm the feasibility and validity of the new way of " early precolonic postoperative enteral nutrition " after operation of acute intestinal obstruction caused by colorectal cancer.Methods Retrospective analized the clinical data of 78 cases of acute intestinal obstruction caused by colorectal caner from September 2007 to September 2012 and the incidence of complications (incision infection,intra-abdominal abscess,anastomotic leakage,and pneumonia) was observed.Results Sixty-two patients received radical resection and primary anastomosis.All of them were cured and no death occurred.Two patients had complication of postoperative infection and none suffered from anastomotic or drainage leakage.Conclusion Radical resection and primary anastomosis using Intra-operative colonic lavage are safe and effective methods for patients with colorectal cancer associated with acute intestinal obstruction,and "early precolonic postoperative enteral nutrition " could better eliminate perioperative malnourished patients more,reduce operation complication,prevent anastomotic leakage,and increase the success rate of the operation.