摘要
目的探讨结直肠癌并发肠梗阻的急诊外科治疗方法及效果。方法回顾性分析1993年7月-2005年7月间150例结直肠癌并发肠梗阻行急症手术治疗患者的临床资料。结果右半结肠癌并梗阻105例,左半结肠和直肠癌并梗阻45例,其中一期切除吻合107例(右半结肠一期切除吻合88例,左半结直肠一期切除吻合19例),Hartmann手术16例,Dixon手术9例,回肠乙状结肠或回肠直肠吻合捷径手术11例,肿瘤近端肠管造口7例,术后出现并发症23例(15.3%),为切口感染、腹腔感染和肠瘘;死亡2例;148例(98.6%)痊愈出院。结论术中经阑尾残端行结肠灌洗并一期切除吻合治疗结直肠癌并发急性肠梗阻,是方便可行而安全有效的。
Objective To evaluate the methods and efficacy of surgical emergency treatment on colorectal cancer combined with intestinal obstruction. Methods The clinical data of 150 cases with obstructing colorectal cancers underwent emergency operation from July 1993 to July 2005 were analyzed retrospectively. Results There were 105 cases with right hemicolon carcinomas combined obstruction,and 45 left hemicolon and rectal cancers with obstruction. All patients received emergency operation. Stage I tumor resection and anastomosis were performed on 107 patients including 88 right and 19 left-hemicolon carcinomas. There were 16 cases treated by Hartmann operations ,9 Dixon operations, 11 bypass operations of ileorectal or ileocolonal anastomosis ,7 c,olostomies. Postoperative complications occurred in 23 cases （15.2%）, including incision infection, intraperitoneal infection and intestinal fistula. 148 of 150 cases（98.6% ） were healed well except 2 patients died after operation. Conclusions Stage I tumor resection and anastomosis combined with coloclvsis through appendiceal stump are feasible and safe surgical procedures in the treatment of colorectal cancers complicated by acute ileus.
出处
《实用全科医学》
2007年第2期111-112,共2页
Applied Journal Of General Practice
关键词
结直肠肿瘤
急性肠梗阻
外科治疗
Colorectal carcinoma
Acute ileus
Surgical treatment
