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结肠癌致急性完全性结肠梗阻是外科常见急腹症之一,也是结肠癌晚期症状之一。正确的诊断和及时的外科治疗直接影响预后。1989年8月～2003年7月,我院共收治73例,诊治体会如下。1资料与方法1.1一般资料男45例,女28例;年龄39-74岁,平均58岁。均为急性完全性结肠梗阻。癌肿位于右半结肠24例(盲肠6例,升结肠7例,结肠肝曲11例);横结肠7例;左半结肠42例(结肠脾曲11例,降结肠12例,乙状结肠19例)。癌肿多为环状浸润性生长。Dukes分级B31例,C42例。1.2手术方法Ⅰ期切除吻合术:右半结肠22例,横结肠7例,左半结肠33例。Hatmarm结肠造口Ⅱ期吻合术:左半结肠3例。永久性造口术:右半结肠2例,左半结肠4例。捷径手术左半结肠1例。
Acute complete colon obstruction of colon cancer is one of the common acute abdomen surgery, but also one of the late symptoms of colon cancer. Correct diagnosis and timely surgical treatment directly affect the prognosis. August 1989 ~ July 2003, our hospital received a total of 73 cases, diagnosis and treatment as follows. 1 Materials and Methods 1.1 General Information 45 males and 28 females; aged 39-74 years, mean 58 years old. All acute complete obstruction. Cancer in the right colon in 24 cases (6 cecum, 7 cases of ascending colon, 11 cases of colonic liver disease); transverse colon in 7 cases; 42 cases of left colon (colon spleens in 11 cases, descending colon in 12 cases, sigmoid colon in 19 cases) . Mostly cancerous ring infiltrative growth. Dukes grade B31 cases, C42 cases. 1.2 surgical methods Ⅰ resection and anastomosis: right colon in 22 cases, transverse colon in 7 cases, left colon in 33 cases. Hatmarm colostomy Ⅱ anastomosis: left colon in 3 cases. Permanent ostomy: right colon in 2 cases, left colon in 4 cases. Shortcut surgery in the left colon in 1 case.