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目的探讨癌性肠梗阻在围手术期及手术中的治疗体会。方法对47例大肠癌并梗阻患者进行围手术期营养支持治疗观察及手术方法的个体化处理。结果在积极的改善营养状况、纠正水盐电解质紊乱前提下19例Ⅰ期切除吻合;20例Ⅰ期切除造瘘、Ⅱ期手术关瘘;7例永久性造瘘(包含3例病灶未能切除、单纯造瘘),1例空肠-横结肠短路吻合,肿瘤旷置手术。3例肠瘘,11例术后心肺功能不全,4例死亡。结论注重围手术期营养支持治疗,选择个体化的手术方法方法能给患者更好的治疗效果及生存质量。
Objective To investigate the treatment of malignant intestinal obstruction during perioperative period and operation. Methods 47 cases of colorectal cancer and obstruction patients were treated by perioperative nutritional support and surgical treatment of individualized treatment. Results In the positive nutrition condition, 19 cases of stage Ⅰ resection and anastomosis under the premise of correcting the disorder of water and salt electrolytes, 20 cases of stage Ⅰ resection fistula, Ⅱ stage of surgery fistula, 7 cases of permanent fistula (including 3 cases failed to remove , Simple fistula), 1 case of jejunum - transverse colon anastomosis, tumor excision surgery. 3 cases of intestinal fistula, 11 cases of postoperative cardiopulmonary insufficiency, 4 patients died. Conclusion The emphasis on perioperative nutrition supportive treatment, select individualized surgical methods to give patients better therapeutic effect and quality of life.