大肠癌术后早期肠梗阻的临床特点和治疗

目的：探讨大肠癌术后早期肠梗阻的诊断与治疗。方法：回顾分析在肠癌手术412例术后早期肠梗阻29例的临床资料。结果：20例经手术探查发现以机械性梗阻占多数（18/20),手术治愈18例;死亡2例,死亡原因均为延误手术时机造成;非手术治愈9例。结论：大肠癌术后早期肠梗阻虽有梗阻症状,但由于术后诸多因素的影响,大多缺乏典型机械性肠梗阻的临床表现。处理中先进行适当时间的非手术治疗,无缓解者再手术。

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

Objective: To explore the diagnosis and treatment of early intestinal obstruction (EIO) after cocorectal carcinoma operation. Methods: Retrospective analysis of the clinical data was made for 29 cases of EIO after 412 operations of colorectal carcinoma from January 1990 to December 2000 in our hostital. Results: Through operative exploration, 18 of 20 cases were found mechanical obstruction. 18 cases were cured by operative therapy, 9 patients wer cured by conservative therapy, 2 cases died because of delayed operation. Conclusions: Although there exist obstructive symptoms in the EIO cases after colorectal carcinoma operation, most cases lacked typical, clinical findings because of the effect of other post-operative factors. Non-operative therapy is necessary for early postoperative intestinal obsruction befor obstruction relieving operation is considered.