摘要
目的:探讨慢性放射性肠炎的外科治疗指征及方法。方法:回顾性分析2002年3月至2005年12月西安交通大学第一附属医院普通外科治疗的15例慢性放射性肠炎的临床资料。结果:6例肠梗阻行肠切除术,6例肠瘘中有4例一期行肠瘘切除,2例行乙状结肠双腔造瘘术,2例肠穿孔行一期肠造瘘,二期肠切除,1例肠出血行Miles手术。均获成功,所有患者肠功能,营养状态改善,随访6个月至18个月,效果满意。结论:慢性放射性肠炎出现严重并发症应积极手术治疗,肠切除和肠造瘘术配合营养支持是较理想的方法。
Objective. To investigate the indication and methods of surgical treatment for chronic radiation enteritis. Methods： Clinical data of 15 patients with chronic radiation enteritis who had undergone surgical management from March 2002 to December 2005 were analyzed retrospectively. Results： Of the 15 cases who suffered from ileus 6 have been done the resection. Intestinal fistulae was treated by diseased segment resection and anastomosis in 4 patients, sigmoidostomy was undertaken in 2 patients, 2 patients were performed bowel stoma operation and resection in second time. One case was performed Miles operation due to hemorrhage. All of the operation were successful. The function of intestine and the nutrition of the patients had got better and still been in good situation after 6 or 18 months. Conclusion： When serious complication of the chronic radiation enteritis appeaes we should do surgical treatment positively. Intestinal resection combined with nutrition support is the rational choice.
出处
《现代肿瘤医学》
CAS
2007年第7期982-983,共2页
Journal of Modern Oncology
关键词
慢性放射性肠炎
外科治疗
肠营养
chronic radiation enteritis
surgical treatment
Intestinal nutrition
