论文部分内容阅读
4年来,我院共收治因结肠癌而致的肠梗阻16例,治疗效果满意。现报告如下。 临床资料:本组男10例,女6例;年龄35～74岁,平均56岁。患者均有明显梗阻症状。其中腹部触及包块4例,贫血貌4例,粘液血便3例。肿瘤位于回盲部4例,升结肠4例,降结肠2例,乙状结肠6例。术前均经4～6小时补液、输血、纠正水电解质紊乱。其中右半结肠切除Ⅰ期吻合7例,肿瘤切除近端肠管造瘘1例。左半结肠切除Ⅰ期吻合4例,肿瘤切除近端肠管造瘘4例。术后刀口感染仅1例,经换药痊愈。 讨论:①结肠癌所致的肠梗阻易形成闭袢型肠梗阻,从而
4 years, our hospital treated a total of 16 cases of intestinal obstruction caused by colon cancer, the treatment effect is satisfactory. The report is as follows. Clinical data: The group of 10 males and 6 females; aged 35 to 74 years, mean 56 years. Patients have significant obstruction symptoms. Including abdominal mass in 4 cases, 4 cases of anemia, mucus bloody stool in 3 cases. The tumor was located in the ileocecal region in 4 cases, ascending colon in 4 cases, descending colon in 2 cases and sigmoid colon in 6 cases. Preoperative 4 ~ 6 hours after rehydration, blood transfusion, correct water and electrolyte disorders. One right colon resection in the first phase anastomosis in 7 cases, resection of the proximal bowel fistula in 1 case. Left anastomosis in the first half of the anastomosis in 4 cases, resection of the proximal bowel fistula in 4 cases. Postoperative knife-edge infection in only 1 case, cured by dressing change. Discussion: ① intestinal obstruction caused by colon easily form closed obstruction, thus