摘要
目的 探讨结、直肠癌并急性结肠梗阻病例的外科处理原则和方法。方法 回顾性分析我院自１９８２ 年至１９９８ 年收治的２２５ 例结、直肠癌并急性结肠梗阻病例，结合近年国内、外文献，综合评价其外科处理方法。结果 ２２５ 例患者均经手术治疗，出现并发症２３ 例；死亡１３ 例，病死率为５－８ ％ ，其余均痊愈出院。结论 结、直肠癌并急性结肠梗阻的处理要根据病人的全身情况和肿瘤的局部情况来进行综合判定。适应证掌握恰当，一期肿瘤切除和吻合术是安全的。
Objective To evaluate the principle and method of surgical management of acute colon obstruction caused by colorectal cancer. Methods Data of 225 above cases in our hospital from 1982 to 1998 were analyzed retrospectively. With a review of recent domestic and foreign literatures, surgical management about these patients was comprehensively evaluated. Results Everyone of 225 cases underwent an operation. Complications occurred in 23 cases. 13 cases were dead and the mortality rate was 5 8%. The rest of patients were healed. Conclusion The management of acute colon obstruction caused by colorectal cancer depends on general condition of the patient and local manifestation of the cancer. If only an indication is appropriate, the single stage resection and anastomosis may be safe and suitable.
关键词
结直肠癌
急性结肠梗阻
手术治疗
并发症
Colorectal cancer Acute colon obstruction Single stage resection and anastomosis
