CAJ | 학술논문

目的:探讨结直肠癌并发急性肠梗阻的外科诊治策略及手术方式.方法:回顾分析2002年1月-2010年12月收治的18例结直肠癌致急性肠梗阻病例的临床资料.结果:本组18例均行手术治疗.7例右半结肠癌均行Ⅰ期切除吻合术;左半结肠癌9例,行Ⅰ期切除吻合术4例,3例行 Hamann 手术,肿瘤无法切除行单纯性结肠造口术2例;直肠癌2例,分别行Ⅰ期切除吻合术及 Hartmann 手术.治愈15例,病死3例;术后发生并发症 7例.结论:结直肠癌并发急性肠梗阻经积极术前准备和治疗合并症后应尽快手术,正确合理的选择手术方式以及加强围手术期处理,对于减少手术并发症和提高治愈率至关重要.
목적:탐토결직장암병발급성장경조적외과진치책략급수술방식.방법:회고분석2002년1월-2010년12월수치적18례결직장암치급성장경조병례적림상자료.결과:본조18례균행수술치료.7례우반결장암균행Ⅰ기절제문합술;좌반결장암9례,행Ⅰ기절제문합술4례,3례행 Hamann 수술,종류무법절제행단순성결장조구술2례;직장암2례,분별행Ⅰ기절제문합술급 Hartmann 수술.치유15례,병사3례;술후발생병발증 7례.결론:결직장암병발급성장경조경적겁술전준비화치료합병증후응진쾌수술,정학합리적선택수술방식이급가강위수술기처리,대우감소수술병발증화제고치유솔지관중요.
Objective:To study the diagnosis and treatment of colorectal cancer and acute intestinal obstruction with surgical operation strategy and way. Methods:The clinical data of 18 cases of colorectal cancer cases of acute intestinal obstruction from January 2002 to December 2010 were retrospective analysed. Results:The 18 cases were all go to surgery.7 cases of right colon cancer resection anastomosis were performed Ⅰ period.The left colon cancer in 9 cases,didⅠ period resection anastomosis in 4,did Hamann surgery in 3,tumor resection couldn’t do simple a colostomy 2 cases.Colorectal cancer 2 cases,respectively do Ⅰ period resection anastomosis and did resection in 1 Hartmann surgery.15 cases were cured,illness in 3 patients,postoperative complications in 7 cases. Conclusion:Acute intestinal obstruction in colorectal cancer via preoperative preparation and treatment should be operate as soon as possible,treatment should be correct reasonable choose and to strengthen the operation way in the perioperative.It’s important to minimize the surgical complications and improve the cure rate.