摘要
为探讨一期切除吻合术结合术中灌洗治疗结肠癌合并肠梗阻的效果，回顾分析2009年2月至2011年2月我院采用此方法治疗的38例结肠癌致肠梗阻患者资料。结果显示，本组38例患者均顺利完成手术，术后发生创口感染2例，经创口换药后治愈；发生粘连性肠梗阻1例，经保守治疗后治愈；发生吻合口漏1例，最终死于腹腔感染、多器官功能衰竭。最终治愈35例，好转2例，死亡1例。结果表明，一期切除吻合术结合术中灌洗治疗结肠癌合并肠梗阻安全、可行，术后并发症少。
In order to investigate the therapeutic effect of the combined therapy of primary resection anastomosis plus intraoperative lavage in the treatment of colonic carcinoma associated with intestinal obstruction,authors retrospectively analysed the data from the 38 patients with colonic carcinoma and induced intestinal obstruction who had received the above combined therapy in author＇s hospital from Feb. 2009 to Feb. 2011 yr. As results,the 38 patients were all subjected to the therapy smoothly ~ after operation 2 cases suffered from wound infection followed by dressing change at wound and eventually attained cure, one case had adhesive intestinal obstruction followed by conservative treatment and eventually attained cure, one case had anastomosis stoma leakage and died from abdominal cavity infection and multi-organ function failure,at the end the 35 cases all recovered better,2 cases improvement, 1 case died. Results show that above- mentioned combined therapy for colonic carcinoma associated intestinal obstruction is safe and feasible, and has less postoperative complication.
出处
《中国肛肠病杂志》
2012年第2期13-15,共3页
Chinese Journal of Coloproctology
关键词
结肠癌
肠梗阻
一期切除吻合
术中灌洗
疗效
Colonic carcinoma
Intestinal obstruction
Primary resection and anastomosis
Intraoperativelavage
Therapeutic effect
