CAJ | 학술논문

目的：总结肿瘤复发转移所致肠梗阻的临床特点及手术治疗方法。方法：对35例肿瘤复发转移导致肠梗阻患者均行手术治疗，其中小肠侧侧吻合术12例，小肠结肠侧侧吻合术5例，小肠侧侧吻合、小肠结肠侧侧吻合术3例，肠切除、肠吻合术4例，肠切除、肠吻合、肠排列术3例，肠切除、肠造口术2例，小肠侧侧吻合术、结肠造口术2例，肠造口术3例，开关术1例，观察治愈或好转率、无效率、死亡率及并发症等。结果：本组35例中痊愈或好转28例，自动出院4例，死亡3例。并发切口感染6例，腹腔感染5例，肠瘘3例。结论：手术是肿瘤复发转移所致肠梗阻治疗的重要手段，并发症以伤口感染、腹腔感染及肠瘘多见。
목적：총결종류복발전이소치장경조적림상특점급수술치료방법。방법：대35례종류복발전이도치장경조환자균행수술치료，기중소장측측문합술12례，소장결장측측문합술5례，소장측측문합、소장결장측측문합술3례，장절제、장문합술4례，장절제、장문합、장배렬술3례，장절제、장조구술2례，소장측측문합술、결장조구술2례，장조구술3례，개관술1례，관찰치유혹호전솔、무효솔、사망솔급병발증등。결과：본조35례중전유혹호전28례，자동출원4례，사망3례。병발절구감염6례，복강감염5례，장루3례。결론：수술시종류복발전이소치장경조치료적중요수단，병발증이상구감염、복강감염급장루다견。
Objective To analyze the clinical characteristics and surgical treatment for malignant bowel ob?struction from recurrent carcinoma. Methods All 35 patients with malignant bowel obstruction from recur?rent carcinoma had surgical treatment. The surgical approaches included: small bowel anastomosis in 12 cases, small bowel-colon anastomosis in 5 cases, small bowel anastomosis and small bowel-colon anastomosis in 3 cas?es, small bowel resection and anastomosis in 4 cases,small bowel resection and anastomosis and intestinal plica?tion in 3 cases,small bowel resection and enterostomy in 2 cases, small bowel anastomosis and colostomy in 2 cases, enterostomy in 3 cases, and open-close operation in 1 case. Recovery and improvement rate, invalid rate, mortality, postoperative complications were observed. Results There were 28 cases who were recovered and improved, and 4 other cases got to exacerbation, and 3 other cases dead. There were some cases suffered from postoperative complications,including 6 with wound infection,5 with abdominal infection and 3 with fistula. Conclusion Surgical intervention is currently an important method to treat malignant bowel obstruction from recurrent carcinoma. Wound infection and abdominal infection and fistula were the most common postoperative complications.