论文部分内容阅读
目的探讨左半结、直肠癌致急性肠梗阻的急诊治疗策略。方法回顾性分析2000-2006年哈尔滨医科大学附属第一医院收治的36例左半结、直肠癌致急性肠梗阻的病例资料。结果行一期肠切除吻合27例,行姑息性结肠造口4例,另5例经肛门插入型肠梗阻导管减压去污后行一期手术。术后切口感染2例,无吻合口漏发生,无手术死亡病例。结论左半结、直肠癌致急性肠梗阻的急诊治疗中,对于选择性病人,一期肠切除吻合术是安全可行的;经肛门插入型肠梗阻导管结肠减压、灌洗去污是对一期肠切除吻合术的有效补充。
Objective To investigate the emergency treatment strategy of acute intestinal obstruction caused by left-sided and rectal cancer. Methods The clinical data of 36 patients with acute left intestinal obstruction caused by rectal cancer in the first affiliated hospital of Harbin Medical University from 2000 to 2006 were retrospectively analyzed. Results The first stage of intestine resection and anastomosis in 27 cases, 4 cases of palliative colostomy, the other 5 cases of intestinal obstruction by anal anastomosis decontamination after a line of surgery. Postoperative incision infection in 2 cases, no anastomotic leakage occurred, no surgical deaths. Conclusions In the emergency treatment of acute intestinal obstruction caused by left colon and rectal cancer, one-stage intestinal resection and anastomosis is safe and feasible for selective patients. The transcatheter closure of anus with intestinal obstruction is decompression and lavage decontamination Effective bowel resection and anastomosis.