大肠癌致肠梗阻的外科处理 |
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引用本文: | 张跃志,于国锋,姜云涛,郝志刚. 大肠癌致肠梗阻的外科处理[J]. 河北医学, 2010, 16(11): 1362-1363. DOI: 10.3969/j.issn.1006-6233.2010.11.0034 |
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作者姓名: | 张跃志 于国锋 姜云涛 郝志刚 |
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作者单位: | 内蒙古赤峰市第二医院,内蒙古,赤峰,024000 |
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摘 要: | 目的:探讨大肠癌致肠梗阻的外科处理方法。方法:分析2005年至2010年间62例大肠癌致肠梗阻的外科治疗资料。结果:62例病人,Ⅰ期行右半结肠切除9例;Ⅰ期行横结肠癌切除4例;Ⅰ期行左半结肠或直肠上段癌切除,近端结肠造口,关闭远端结肠或直肠备Ⅱ期吻合47例。肿瘤无法切除行乙状结肠造口2例(直肠癌)。术后并发症发生率12.9%(8/6 2),围手术期病死率3.2%(2/6 2)。结论:重视对结肠癌致肠梗阻的认识。合理选择手术方式,做好围手术期处理是减少并发症,提高疗效的重要措施。
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关 键 词: | 大肠癌 肠梗阻 外科治疗 |
The Surgical Treatment of Large Bowel Obstruction Caused by Colorectal Carcinoma |
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Affiliation: | ZHANG Yuezhi , YU Guofeng , JIANG Yuntao , et al (The Second Hospital of Chifeng City, Neimenggu Chifeng 024000 , China ) |
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Abstract: | Objective: To study the surgical treatment of large bowel obstruction caused by colorectal carcinoma.Method: Retrospective analysis of the experience of surgical treatment for the large bowel obstruction caused by colorectal carcinoma in 62 patients from 2005 to 2010 was performed.Result: In 62 patients,the right hemicolectomy was performed in 9 patients;left hemicolectomy with proximal colon fistulization was performed in 47 patients;transvercolectomy was performed in 4 patients;sigmoid fistulization was performed in 2 patients for their rectum carcinoma couldn’t be resected.The postoperative complication rate was 12.9%(8/62),and perioperative mortality rate was 3.2%(2/62).Conclusion:More attention should be paid to large bowel obstruction caused by colorectal carcinoma.It’s the key to select rational colectomy and appropriate perioperative management for reducing both complication and mortality rate. |
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Keywords: | Colorectal carcinoma; Large bowel obstruction; Surgical treatment; |
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