摘要
目的 探讨急性结肠梗阻的诊断、围手术期处理及手术方式的选择。方法 回顾分析我院 1991年 1月至 1997年 11月间手术治疗的急性结肠梗阻 5 7例。结果 癌性结肠梗阻占 72 % ( 41/ 5 7) ,而术前确诊率仅 3 2 %( 13 / 41)。术前选用预防性抗生素静脉滴注 ,术中行肠减压及结肠灌洗 ,行一期切除手术 44例 ,占 77% ( 44 / 5 7) ,同时一期吻合 3 6例 ,占 82 % ( 3 6/ 44 ) ,其中左半结肠病变者占 5 6% ( 2 0 / 3 6) ,无死亡及吻合口瘘发生。结论 对急性结肠梗阻应加强术前诊断和认识 ,完善术前。
Objective The purpose of this study was to evaluate the diagnosis,perioperative management and procedure′s choice of acute obstruction of colon (AOOC).Methods Fifty-seven cases of AOOC operated upon between Jan 1991 and Nov 1997 were reported,and related problems were discussed.Results There were 41 cases (72%,41/57) of acute carcinomatous colonic obstruction (ACCO) among them,but the preoperative diagnosis rate of ACCO was only 32% (13/41).Through protective antibiotic intravenation and on-table proximal decompression or/and lavage,44 patients (77%) underwent single-stage resection,of whom 36 patients (82%) underwent primary anastomosis including 20 cases of left colonic lesion.In this group,there were no deaths and leaks.Conclusion We believe that it is a key to the problem to enhance preoperative diagnosis,cognition and do well perioperative management of AOOC for reducing mortality and complication of single-stage resection and anastomosis.
出处
《山西医药杂志》
CAS
2003年第3期206-207,共2页
Shanxi Medical Journal
关键词
急性结肠梗阻
诊断
治疗
围手术期处理
手术方式
一期切除吻合术
Intestinal obstruction
Colonic neoplasms
Single-stage resection and anastomosis
On-table colonic lavage
