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大肠癌伴肠梗阻的诊治(附120例分析)
引用本文:高章元. 大肠癌伴肠梗阻的诊治(附120例分析)[J]. 第二军医大学学报, 1999, 20(11): 881-882
作者姓名:高章元
作者单位:第二军医大学长海医院肛肠外科,上海,200433
摘    要:目的:探讨大肠癌合并肠梗阻外科诊治的有关问题。顺顾性分析了10年(1989年4月至1999年5月)120例梗阻性大肠癌的外科处理。结果:根治怀切除72例(切除率60%),捷径手术9例,单纯肠造口39例,术后并发症38例,术后并发症38例(31.7%)。结论:大肠癌合并肠梗阻一经确诊,应积极争取手术治疗,术式选择应根据患者具休病情,尤其对左半结肠癌梗阻,尽可能以一期手术切除为宜。

关 键 词:结肠直肠肿瘤  肠梗阻
文章编号:0258-879X(1999)11-0881-02
修稿时间:1999-07-11

Analysis of the diagnosis and management of obstructive colorectal carcinoma in 120 cases
Gao Zhangyuan. Analysis of the diagnosis and management of obstructive colorectal carcinoma in 120 cases[J]. Former Academic Journal of Second Military Medical University, 1999, 20(11): 881-882
Authors:Gao Zhangyuan
Abstract:Objective: To study the surgical diagnosis and treatment of obstructive colorectal carcinoma. Methods:From April l989 to May 1999,surgical treatment of 120 patients with obstructive colorectal carcinoma were analyzed. Results: Among these patients,72 cases received complete resection,the resection rate was 60%, 7 cases received shortcut operation,39 cases received simple colostomy, 38 cases with all sorts of complications after operation(31.7%). Conclusion:Positive operation treatment should be taken when the diagnosis of obstructive colorectal carcinoma is clear. The operation method depends on the patient's condition. For obstructive carcinoma of the left colon, primary colectomy may be done if possible.
Keywords:colorectal neoplasms  intestinal obstruction
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