求医问药(学术版)
求醫問藥(學術版)
구의문약(학술판)
Seek Medical and Ask the Medicine
2013年
5期
111-112
,共2页
急肠梗%结直肠癌%急诊%外科治疗
急腸梗%結直腸癌%急診%外科治療
급장경%결직장암%급진%외과치료
Acute obstruction%colorectal cancer%Emergency surgery treatment
目的:讨论以急性肠梗阻为临床表现的结直肠癌外科治疗方法及疗效.方法:回顾性分析97例以急性肠梗阻为临床表现的结直肠癌行急症手术治疗患者的临床资料.结果:直肠癌并梗阻35例,左半结肠癌并梗阻33例,右半结肠癌并梗阻24例,横结肠癌并梗阻5例.其中一期切除吻合85例,一期切除吻合并肿瘤近端肠管预防性造瘘6例,术后出现并发症9例(9.3%).结论:一期切除吻合在以急性肠梗阻为临床表现的结直肠癌外科急诊手术中是安全可行的.
目的:討論以急性腸梗阻為臨床錶現的結直腸癌外科治療方法及療效.方法:迴顧性分析97例以急性腸梗阻為臨床錶現的結直腸癌行急癥手術治療患者的臨床資料.結果:直腸癌併梗阻35例,左半結腸癌併梗阻33例,右半結腸癌併梗阻24例,橫結腸癌併梗阻5例.其中一期切除吻閤85例,一期切除吻閤併腫瘤近耑腸管預防性造瘺6例,術後齣現併髮癥9例(9.3%).結論:一期切除吻閤在以急性腸梗阻為臨床錶現的結直腸癌外科急診手術中是安全可行的.
목적:토론이급성장경조위림상표현적결직장암외과치료방법급료효.방법:회고성분석97례이급성장경조위림상표현적결직장암행급증수술치료환자적림상자료.결과:직장암병경조35례,좌반결장암병경조33례,우반결장암병경조24례,횡결장암병경조5례.기중일기절제문합85례,일기절제문합병종류근단장관예방성조루6례,술후출현병발증9례(9.3%).결론:일기절제문합재이급성장경조위림상표현적결직장암외과급진수술중시안전가행적.
Obsjective Discussion and efficacy of surgical treatment for acute intestinal obstruction clinical manifestations of colorectal cancer. Methods A retrospective analysis from 1991 July to 2012 December 97 cases of acute intestinal obstruction clinical manifestations of colorectal cancer underwent emergency operation treatment in patients with clinical data. Result Rectal cancer and obstruction in 35 cases, 33 cases of obstruction of the left colon cancer, colorectal cancer and obstruction in 24cases, 5 cases of transverse colon cancer with obstruction. One stage resection and anastomosis in 835cases (33 cases of left colon cancer, 24 cases of right colon cancer, rectal cancer in 23 cases, transverse colon cancer in 5 cases ),The tumor in the proximal intestine preventive colostomy in 6 cases,5 cases of Mile ' s operation, Hartmann operation in 1 cases, 9 cases of complications after operation(9.3%),As the infection of incision( 7 cases) and intestinal fistula ( 2 cases, 1 cases recovered after conservative treatment, the other 1 cases received transverse colostomy after returning operation );2 patients died;95 cases ( 97.9%) were discharged from the hospital. Conclusion one-stage resection is feasible and safe surgical emergency operation preventive colostomy in acute intestinal obstruction clinical manifestations of colorectal cancer.
