摘要
【目的】总结诊断和治疗急、慢性结肠梗阻的经验。【方法】回顾性分析本院外科1999年1月至2006年5月治疗的79例结肠梗阻的临床资料。【结果】61例慢性不全性肠梗阻行择期手术,18例接受急诊手术。15例急诊手术中结肠切除时行结肠与结肠Ⅰ期吻合7例,占同期急诊结肠切除吻合术的47%(7/15),远端结肠切除Ⅰ期吻合、近端结肠造口术3例,肿瘤无法切除、近端结肠造口术5例。治愈76例,治愈率96%,死亡3例,病死率4%。【结论】结肠梗阻绝大多数为慢性不全性肠梗阻,且多因结肠癌引起,可在作好肠道准备后择期手术;部分急性完全性肠梗阻病例中,结肠癌、肠套叠或乙状结肠蒂扭转是急性完全性结肠梗阻的主要原因,可根据术中情况行结肠与结肠Ⅰ期吻合术或远端结肠切除、近端造口术。
[Objective]To study the diagnosis and treatment of acute or chronic colon obstruction,reduce the complication and improve the prognosis. [Methods] Seventy nine cases with colonic obstruction from January 1999 to May 2006 were analyzed retrospectively. [Results]All patients were resolved by surgical resection and the mortality rate was 4%. Sixty one cases of chronic uncomplete obstruction were adopted selective operation and 18 cases were adopted emergent operation. Seven cases were performed emergent colocolostomy for Ⅰ phase, 3 cases for distal colocolostomy and proximal colostomy. [Conclusion]Most colonic obstructions are chronic, partial and colon cancer is the main cause. Colon volvulus and intussusception are the main causes of acute complete colon obstruction. Colon resection is the main choice of treatment.
出处
《医学临床研究》
CAS
2007年第2期262-263,266,共3页
Journal of Clinical Research
关键词
肠梗阻/诊断
肠梗阻/治疗
急性病
慢性病
intestinal obstruction/DI
intestinal obstruction/TH
acute disease
chronic disease
