CAJ | 학술논문

目的：探讨结肠癌并肠梗阻的临床症状特点和诊治方法。方法回顾性分析我院30例结肠癌并肠梗阻患者的临床资料。结果25例行一期切除吻合术，4例切除后肠造瘘二期吻合术，1例行一期近端造瘘二期切除吻合术；术后并发症8例，其中切口感染5例、肺部感染1例、吻台口瘘1、腹腔感染1例。结论结肠癌并肠梗阻能严重危及到患者的生命，结肠切除术是解除结肠癌合并肠梗阻的主要手术方式，理想的手术方式是一期根治切除吻合术，能有效的降低患者死亡率。
목적：탐토결장암병장경조적림상증상특점화진치방법。방법회고성분석아원30례결장암병장경조환자적림상자료。결과25례행일기절제문합술，4례절제후장조루이기문합술，1례행일기근단조루이기절제문합술；술후병발증8례，기중절구감염5례、폐부감염1례、문태구루1、복강감염1례。결론결장암병장경조능엄중위급도환자적생명，결장절제술시해제결장암합병장경조적주요수술방식，이상적수술방식시일기근치절제문합술，능유효적강저환자사망솔。
Objective: To investigate the clinical characteristics and treatment of colon cancer and intestinal obstruction. Methods: retrospectively analyzed the clinical data of 30 cases of colon cancer and intestinal obstruction patients. Results: 25 patients underwent one-stage resection and anastomosis, 4 cases of resection of intestinal fistula two anastomosis in 1 cases, proximal colostomy in two stage resection and anastomosis; 8 cases of postoperative complications, including incision infection in 5 cases, pulmonary infection in 1 cases, kiss the proscenium fistula in 1, abdominal cavity infection in 1 cases. Conclusion: the colon and intestinal obstruction can seriously endanger the lives of patients, colon resection is the main way to terminate the operation of colon cancer with intestinal obstruction, the best operation way is the one stage radical resection and anastomosis, can effectively reduce the mortality of patients.