直肠癌术后早期肠梗阻的临床特点和治疗

目的 探讨直肠癌手术后早期肠梗阻的临床特点和手术时机。方法 回顾分析直肠癌手术４０８例术后早期肠梗阻２６例的临床资料。结果 ２１例经手术探查发出以机械性梗阻占多数（１９／２１），手术治愈１８例，死亡３例，死亡原因均为延误手术时机造成。非手术治愈５例。结论 直肠癌术后早期肠梗阻虽有梗阻症状，但由于术后诸多 影响，大多缺乏典型机械性梗阻的临床表现，易与术后肠麻痹，炎性粘连梗阻相混淆，应注意加以鉴别。处

The clinical characteristics and treatment of early intestinal obstruction after rectal carcinoma operation

Objective To investigate the clinical feature and operation timing of early intestinal obstruction(EIO) after rectal carcinoma operation. Methods Retrospective analysis of the clinical data was made for 26 cases of EIO after 408 operations of rectal carcinoma from January 1987 to December 1997 in our hospital. Results Through operative exploration, 19 of 21 cases were found mechanical obstruction. 18 cases were cured by operative therapy, 5 patiects were cured by conservative therapy. 3 cases died because of delayed operation. Conclusions Although there exist obstructive symptoms in the EIO cases after rectal carcinoma operation, most cases lacked typical clinical findings because of the effect of other post operative factors; and easely being confused with paralytic or adhesive obstructions. Non operative therapy is necessary for early postoperative intestinal obstruction. But when the obstructive symptom can not be relieved completely, the possibility of mechanical obstruction should be considered and operative exploration should be performed.