摘要
目的探讨大肠癌并急性肠梗阻的外科治疗方法及效果。方法回顾性分析1998年10月~2003年10月45例大肠癌并发急性肠梗阻行一期切除吻合的临床资料。结果术后肺部感染2例,伤口感染6例,无吻合口瘘37例,并发症总发生率17.8%。结论一期切除吻合手术治疗大肠癌并急性肠梗阻是可行的,而合理选择手术方式,正确的术中操作和围手术期处理对提高疗效、改善患者生活质量有所裨益。
Objective To exprole the effect of surgical management on obstructive colorectal Carcioma.Methods A restrospective analysis was made on the clinical data of 45 cases of acute obstructive colorectal carcinoma treated by one-stage vesection from October 1998 to October 2003. Among the 45 cases, there were 15 casess of right colon obstruction and 30 cases of left colon or rectal obstruction. Results The rate of postoperative compliocations was 17.8%in this series, including infection of pneumoniu (2 cases) and incisional wound in (6 cases) and no anastomosis fistula (37 cases). Conclusion One stage rection and anastomosis is a feasible operation for obstructive colorectal carcinoma. Appropriate choice of the operative procesure and skillful operative technique, and prudential perioperative treatment can enhance the curative effect and the patients quality of life.
出处
《中国航天医药杂志》
2004年第1期17-18,共2页
Medical Journal of CASE
关键词
大肠癌
急性肠梗阻
一期切除吻合术
治疗方法
肿瘤
Colon acrcinama Acute colon obstruction One-stage resection and anastomosis