梗阻性结肠癌急诊手术分析

摘要

目的：探讨梗阻性结肠癌急诊手术方式的选择。方法：分析1990年1月至1999年12月收治的78例结肠[摘要]目的：探讨梗阻性结肠癌急诊手术方式的选择。方法：分析1990年1月至1999年12月收治的78例结肠癌，均经手术和病理证实。对梗阻性结肠癌的发病特点，急症手术方式的选择进行研究。结果：梗阻性结肠癌多为中晚期肿瘤，手术根治性切除困难，病情危重，死亡率高。手术方式分为右半结肠切除一期吻合，左半结肠或乙状结肠切除一期吻合，以及分期手术的方式。结论：对于梗阻性结肠癌的患者应综合评估，危重高龄患者应选择风险最低的手术方式。%Objective: To explore the methods of emergency operation for obstructive colon cancer. Methods: 78 patients with obstructive colon cancer, whose diagnosis were confirmed by operation and pathology, were analyzed in feature of obstructive colon cancer and selection of operative methods. Results: Most of patients with obstructive colon cancer were advanced. It is very difficult to operation. The mortality was higher. The operation methods are right or left colon resection and primary anastomosis, staged operation. Conclusion: The patients with obstructive colon cancer should be evaluated, elderly and severe patients must choose a mehtod with low venture.