| 大肠癌致急性肠梗阻的外科治疗(178例临床分析) |
| |
| 引用本文： | 莫崖冰,王志强,杨骏,谢俐,曹文清,邓崇文,邹斌.大肠癌致急性肠梗阻的外科治疗(178例临床分析)[J].中国现代手术学杂志,2009,13(1). |
| |
| 作者姓名： | 莫崖冰 王志强 杨骏 谢俐 曹文清 邓崇文 邹斌 |
| |
| 作者单位： | 湖南省娄底市中心医院普外科,娄底,417000 |
| |
| 摘 要： | 目的探讨大肠癌并发急性肠梗阻的外科治疗方法及疗效。方法大肠癌致急性肠梗阻178例,一期行右半结肠切除37例,一期行左半结肠切除80例,一期行结肠次全切除、回肠-乙状结肠(或直肠上段)吻合31例,一期行左半结肠或直肠上段癌切除,近端结肠造瘘、封闭远端结肠(或直肠)、二期吻合13例,结、直肠癌晚期无法根治切除者行结肠造瘘7例,短路手术10例。结果术后并发症发生率为13.5%(24/178),围手术期死亡率为4.5%(8/178)。结论大肠癌致急性肠梗阻的外科治疗应及时并遵循个体化原则,应创造条件力争一期切除肿瘤,解除梗阻。对左半结肠癌并发急性肠梗阻病人施行一期肿瘤切除吻合术是安全有效的,但应严格掌握适应证,灵活应用不同的手术方式。
|
| 关 键 词： | 结直肠肿瘤 肠梗阻 |
Surgical Treatment for Colorectal Carcinoma Complicated with Intestinal Obstruction(178 Cases Report) |
| |
| MO Ya-bing,WANG Zhi-qiang,YANG Jun,XIE Li,CAO Wen-qing,DENG Chong-wen,ZOU Bin.Surgical Treatment for Colorectal Carcinoma Complicated with Intestinal Obstruction(178 Cases Report)[J].Chinese Journal of Modern Operative Surgery,2009,13(1). |
| |
| Authors: | MO Ya-bing WANG Zhi-qiang YANG Jun XIE Li CAO Wen-qing DENG Chong-wen ZOU Bin |
| |
| Institution: | MO Ya-bing; WANG Zhi-qiang; YANG Jun; XIE Li; CAO Wen-qing; DENG Chong-wen; ZOU Bin(Department of General Surgery; Central Hospital of Loudi; Loudi 417000; Hunan; China); |
| |
| Abstract: | Objective To investigate the surgical treatment for the obstructive colorectal carcinoma.Methods The clinical data was reviewed in 178 patients with the obstructive colorectal carcinoma.All of the 161 cases received resection operations,in whom 37 of one-stage right hemicolectomy,80 of one-stage left hemicolectomy,31 of one-stage subtotal colectomy followed by ileosigmoidostomy or ileoproctostomy,13 of first-stage resection of left hemicolectomy(or proximal rectum) with colostomy followed by second-stage an... |
| |
| Keywords: | colorectal neoplasms intestinal obstruction |
| 本文献已被 维普 万方数据 等数据库收录！ |
|
