论文部分内容阅读
目的:探讨外科治疗结直肠癌致急性肠梗阻的临床效果。方法:选择结直肠癌致急性肠梗阻患者48例,对其外科治疗的方法进行总结和分析,评价其治疗效果。结果:所有48例患者中,术中死亡2例(死亡率4.2%);术后出现急性肾功能不全4例,出现心肺功能不全5例;随访中,发生肿瘤全身转移11例,局部复发的情况有16例,死亡15例。结论:由结直肠癌所导致急性肠梗阻发病突然,情况复杂,应根据患者自身状况选择最佳治疗方案,积极争取手术,只要适应证掌握恰当,Ⅰ期切除和吻合术是安全可靠的。
Objective: To investigate the clinical effect of surgical treatment of acute intestinal obstruction caused by colorectal cancer. Methods: Forty-eight patients with acute intestinal obstruction caused by colorectal cancer were selected and their methods of surgical treatment were summarized and analyzed. The therapeutic effect was evaluated. Results: Of the 48 patients, 2 died during operation (mortality was 4.2%); 4 patients developed acute renal insufficiency and 5 patients suffered from cardiopulmonary insufficiency. During the follow-up, 11 patients had systemic tumor metastasis and local recurrence occurred There are 16 cases, 15 cases of death. Conclusion: The incidence of acute intestinal obstruction caused by colorectal cancer is suddenly and complicated. The best treatment plan should be chosen according to the patient’s condition. Surgery should be actively pursued. As long as the indications are properly controlled, stage Ⅰ resection and anastomosis are safe and reliable.