中外医学研究
中外醫學研究
중외의학연구
Chinese and Foreign Medical Research
2015年
28期
10-11,12
,共3页
结直肠癌%肠梗阻%结直肠外科手术
結直腸癌%腸梗阻%結直腸外科手術
결직장암%장경조%결직장외과수술
Colorectal carcinoma%Intestinal obstruction%Colorectal surgical operation
目的：探讨左半结肠癌并肠梗阻最佳手术方法。方法：对40例左半结肠癌并肠梗阻患者采用不同的手术方法，并对预后情况进行回顾分析。结果：全组近期治愈30例，好转10例，无手术死亡发生。切口裂开及感染3例，造口回缩1例。结论：对病程短、年龄小、梗阻近端，肠管血供良好，肠管扩张及水肿不十分严重，全身情况好可采用Ⅰ期切除吻合，否则应选用分期手术为佳。
目的：探討左半結腸癌併腸梗阻最佳手術方法。方法：對40例左半結腸癌併腸梗阻患者採用不同的手術方法，併對預後情況進行迴顧分析。結果：全組近期治愈30例，好轉10例，無手術死亡髮生。切口裂開及感染3例，造口迴縮1例。結論：對病程短、年齡小、梗阻近耑，腸管血供良好，腸管擴張及水腫不十分嚴重，全身情況好可採用Ⅰ期切除吻閤，否則應選用分期手術為佳。
목적：탐토좌반결장암병장경조최가수술방법。방법：대40례좌반결장암병장경조환자채용불동적수술방법，병대예후정황진행회고분석。결과：전조근기치유30례，호전10례，무수술사망발생。절구렬개급감염3례，조구회축1례。결론：대병정단、년령소、경조근단，장관혈공량호，장관확장급수종불십분엄중，전신정황호가채용Ⅰ기절제문합，부칙응선용분기수술위가。
Objective:To investigate a better surgical procedure in the treatment of left colorectal carcinoma with intestinal obstruction.Method:A retrospective analysis of the experience of different surgical treatment for the large bowel obstruction caused by left colorectal carcinoma in 40 patients was performed.Result:In 40 patients,short-term cure was noticed in 30 cases,10 cases was improved,no surgical death was observed.Wound fissuration and infection were found in 3 cases,stoma retraction was found in 1 case.Conclusion:The primary reaction and anastomasis are feasible and suitable for those cases which have shorter disease course,younger age,better blood supply of the proximal obstructed intestine,less dilation of the intestinal cavity and less edema,while staging surgical operation is better for those other than the above-mensioned cases.
