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目的研究腹腔恶性肿瘤术后肠梗阻的临床特征及诊疗要点。方法将我院自2000年1月至2009年3月间收治的腹腔恶性肿瘤术后肠梗阻再次手术治疗的95名患者,分为肿瘤复发组和非肿瘤复发组,对他们原发病的病理特征、梗阻类型、临床表现、手术方式及术后并发症进行回顾性分析。结果两组间在原发肿瘤分化程度、肿瘤分期、梗阻类型、临床表现、手术方式及术后并发症等方面存在显著性差异。结论两组间的上述差异点可作为胃肠道恶性肿瘤术后肠梗阻诊断的要点。
Objective To study the clinical features and diagnosis and treatment of intestinal obstruction after abdominal malignant tumor. Methods A total of 95 patients who underwent reoperation of intestinal obstruction after peritoneal malignant tumor admitted to our hospital from January 2000 to March 2009 were divided into two groups: tumor recurrence group and non-tumor recurrence group. The pathology of their primary disease Characteristics, obstruction type, clinical manifestations, surgical methods and postoperative complications were retrospectively analyzed. Results There was significant difference between the two groups in the degree of primary tumor differentiation, tumor staging, obstruction type, clinical manifestation, operation method and postoperative complications. Conclusion The above differences between the two groups can be used as the diagnosis of intestinal obstruction after gastrointestinal cancer.