CAJ | 학술논문

结直肠癌合并肠梗阻仍然是结直肠癌治疗上的难题,本文就其治疗方面的进展做一综述:1.新辅助治疗对于结肠癌及直肠癌的治疗原则是不同的;2.姑息治疗:肠造瘘术仍然是主要方式,探讨支架置入术、光动力疗法的临床价值;3.手术治疗仍然是最有效的治疗手段;术前准备包括全身情况的调整、术前灌肠;再次探讨支架置入术的价值;右半结肠癌伴梗阻的治疗原则已达成广泛共识;左半结肠癌伴梗阻Ⅰ期切除和吻合是安全的;结肠次全切除术是安全、可行的.
결직장암합병장경조잉연시결직장암치료상적난제,본문취기치료방면적진전주일종술:1.신보조치료대우결장암급직장암적치료원칙시불동적;2.고식치료:장조루술잉연시주요방식,탐토지가치입술、광동력요법적림상개치;3.수술치료잉연시최유효적치료수단;술전준비포괄전신정황적조정、술전관장;재차탐토지가치입술적개치;우반결장암반경조적치료원칙이체성엄범공식;좌반결장암반경조Ⅰ기절제화문합시안전적;결장차전절제술시안전、가행적.
The treatement of colorectal obstruction is stil difficult. This article makes a summary on its present treatment progress.1.The principles of neoadjuvant therapy in colorectal cancer are different.2.Enterostomy is stil main way in paliative care.Investigate the clinial value of placement of metal stents and photodynamic therapy. 3. Surgical management of colorectal obstruction is the most effective. Preoperative pre-paration include general condition adjustment and preoperative enema. Then,the value of metal stent placement is investigated again.The principles of right-sided colorectal obstruction have generaly been accepted .One- stage resection and primary anastomos is safe in left-sided colorectal obstruction. Subtotalcolectomy is safe and effective.