摘要
目的探讨结肠癌致急性肠梗阻的外科治疗策略。方法回顾分析8年间收治的43例结肠癌并发急性肠梗阻患者的外科治疗方法及效果。结果采用右半结肠一期切除吻合治疗14例,左半结肠一期切除吻合治疗11例,Hartm ann手术7例,姑息性结肠造口7例,探查活检手术4例,术后并发吻合口瘘1例,切口感染3例,腹腔感染2例。结论结肠肿瘤并发急腹症临床常见但误诊率较高,及时外科手术是治疗的主要措施。
Aim To evaluate the causation and surgical management of the acute intestinal obstruction caused by colon cancer.Methods The clinical data of 43 cases of the acute intestinal obstruction caused by colon cancer were analyzed retrospectively during the past eight years in our hospital.Results 14 cases were subjected to resection and anastomosis of half right colon.11 cases were subjected to resection and anastomosis of half left colon.7 cases underwent Hartmann operation.7 cases underwent palliative colostomy. 4 cases underwent exploratory biopsy, one case occurred with anastomotic leakage postoperative complication. 3 cases with incisiona linfection. 2 cases with intraabdominal infection. Conclusion Colorectal tumors often complicated by acute abdomen, but there was a high rate of misdiagnosis. Correct diagnosis of colonic cancer assotiated with acute abdome are crucial for the patients＇ life.
出处
《安徽医药》
CAS
2009年第8期924-925,共2页
Anhui Medical and Pharmaceutical Journal
关键词
结肠癌
肠梗阻
colon carcinoma
intestinal obstruction
