CAJ | 학술논문

目的探讨外科治疗结肠癌合并急性肠梗阻的临床疗效.方法回顾性分析56例结肠癌合并肠梗阻患者的临床资料,总结治疗该疾病的临床体会.结果 56例结肠癌合并急性肠梗阻患者行一期结肠癌切除吻合术47例,采用分期手术9例.痊愈54例(96.4％),死亡1例,病死率为1.8％.术后18例出现并发症(32.1％),主要是切口感染、腹腔感染和腹腔脓肿及吻合口瘘.分期手术术后吻合8例.结论一期结肠癌切除吻合术及分期手术治疗结肠癌合并急性肠梗阻方便可行、安全有效.
목적 탐토외과치료결장암합병급성장경조적림상료효.방법 회고성분석56례결장암합병장경조환자적림상자료,총결치료해질병적림상체회.결과 56례결장암합병급성장경조환자행일기결장암절제문합술47례,채용분기수술9례.전유54례(96.4％),사망1례,병사솔위1.8％.술후18례출현병발증(32.1％),주요시절구감염、복강감염화복강농종급문합구루.분기수술술후문합8례.결론 일기결장암절제문합술급분기수술치료결장암합병급성장경조방편가행、안전유효.
Objective To analyse the clinical effects on colon cancer with acute intestinal obstruction.Methods 56 patients with acute intestinal obstruction caused by colon cancer were studied retrospectively.The experience of diagnosis was summarized.Results 47 patients with acute intestinal obstruction caused by colon cancer received Stage Ⅰ tumor resection and the other 9 patients received different stages.54 patients healed (96.4％) and 1perioperative deaths (1.8 ％).Postoperative complications occurred in 18 cases (32.1％) including incision infection,intraperitoneal infection and intestinal fistula.Conclusion Stage Ⅰ tumor resection is feasible and safe surgical procedures for acute intestinal obstruction caused by colon cancer.