摘要
为探讨不同部位结肠癌性肠梗阻的术式选择，回顾性分析手术治疗76例结肠癌性肠梗阻的临床资料。结果显示，Ⅰ期肿瘤切除60例，占78．9％（60／76），其中Ⅰ期吻合55例，占91．7％（55／60），左半结肠癌33例，占60％（33／55）；其中Ⅰ期左半结肠切除吻合17例，占51．5％（17／33），Ⅰ期扩大右半结肠切除吻合9例，占27．3％（9／33），经内镜支架置入过渡后行Ⅰ期左半结肠切除吻合6例，占18．2％（6／33）；Hartmann术5例，占8．3％（5／60），Ⅰ期单纯造口9例（5例Ⅱ期切除），总切除率78．9％（60／76）；术后并发吻合口漏1例（1．3％），治愈75例（98．6％），住院死亡1例（1．3％）。结果表明，对结肠癌性肠梗阻应综合分析，选择适当术式，个体化治疗。
This study was to discuss the choice of procedures for intestinal obstruction due to different parts of colon cancer,a retrospective analysis was carried out on the clinical data of the 76 cases with this disease. The results showed that 60 cases had receided primary resection of tumor,accounting for 78.9% （60/76） ,of which 55 case had one stage anastomosis（91.7%,55/60） ,33 cases had left colon cancer （60%, 33/55） ,of which 17 cases had received primary left colon resection with anastomosis（51.5%, 17/33）,9 ca-ses extended right hemicolectomy with anastomosis （27.3%,9/33） ,6 cases performed primary left hemico-lectomy with anastomosis （18.2% ,6/33） after transition of endoscopic stent placement;5 cases underwent Hartmann＇s procedure （8.3% ,5/60）,9 cases had primary single neostomy （5 cases with the secondary re-section） , the total resection rate was 78.9% （60/76）;one case developed anastomotic leakage（1.3%, 75 cases got cured（98.6%） ,one case died during hospitalization（1.3%）. It is concluded that for intestinal ob-struction due to colon cancer,appropriated procedure and individualized treatment should be selected after a comprehensive analysis.
出处
《中国肛肠病杂志》
2013年第3期17-19,共3页
Chinese Journal of Coloproctology
关键词
结肠癌
肠梗阻
术式
Colon cancer
Intestinal obstruction
Procedure
