结直肠癌并发急性肠梗阻83例外科治疗分析 |
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引用本文: | 余伟,李军成,田斌,叶振宇,张春华. 结直肠癌并发急性肠梗阻83例外科治疗分析[J]. 中国航天工业医药, 2012, 0(10): 42-44 |
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作者姓名: | 余伟 李军成 田斌 叶振宇 张春华 |
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作者单位: | 苏州大学附属第二医院,215004 |
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摘 要: | 目的分析结直肠癌并发急性肠梗阻的外科治疗方法。方法回顾性分析2002年1月~2012年1月间收治的83例患者的临床资料。结果行一期切除吻合68例,行分期手术4例,行一期造瘘、二期肿瘤切除肠吻合2例,行姑息性造瘘9例。围手术期无死亡病例出现,术后发生切口感染6例,肺部感染4例,吻合口瘘1例,切口裂开1例,腹腔包裹性积液1例,经抗感染、加强引流、换药、穿刺引流等对症处理后痊愈。结论在掌握适应证的情况下,行一期切除吻合安全可行,可作为首选治疗方法,同时积极防治吻合口瘘是提高一期手术疗效的重要措施。
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关 键 词: | 结直肠癌 急性肠梗阻 一期切除吻合 吻合口瘘 |
Observation on surgical treatment of acute intestinal obstruction caused by colorectal cancer |
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Affiliation: | Yu Wei,Li Juncheng, Tian Bin , et al. The Second Affiliated Hospital of Soochow University ,Suzhou 215004 |
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Abstract: | Objective To observe the surgical treatment of acute intestinal obstruction caused by colorectal cancer. Methods A total of 83 cases of colorectal cancer from Jan 2002 to Jan 2012 was analyzed retrospectively. Results All patients received operation. 68 cases were treated by stage-I operation, 4 cases by staging operation, 2 cases by stage-II operation and 9 cases by proximal intestinal fistulization. There was no perioperative death. Postoperative complication including wound infection in 6 cases, pulmonary infection in 4 cases, anastomotic leak in 1 case, wound split in 1 case and encapsulated effusion in 1 case, all complications were cured by conservative treatment. Conclusion It is safe and feasible to operate stage-I anastomosis with the control of indicatio, it can be the preferred method. Meanwhile, to prevent and cure the anastomotic leak is a important measure to inhance the effect of staze-I anastomosis. |
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Keywords: | Colorectal cancer Acute intestinal obstruction Stage-I anastomosis Anastomotic leak |
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