论文部分内容阅读
目的总结胃肠道恶性肿瘤术后发生肠梗阻的临床特点,分析原因并探讨有效治疗方法。方法对商丘市第一人民医院在2012年1月—2015年12月收治的63例胃肠道恶性肿瘤患者行手术治疗后发生肠梗阻的病历资料进行回顾性分析。结果诊断发现有肠粘连、内疝以及肠套叠等非肿瘤因素引起梗阻的患者42例,术后因肿瘤复发引起梗阻的患者21例;其中不全性梗阻患者53例,完全性梗阻患者10例。肿瘤性梗阻患者发生肠梗阻距离首次治疗的平均时间为(11.8±7.3)个月,非肿瘤性梗阻患者发生肠梗阻距离首次治疗的平均时间为(7.3±3.2)个月。结论准确判断胃肠道恶性肿瘤术后肠梗阻的临床特点对提高治疗效果有重要意义,胃肠道恶性肿瘤术后肠梗阻患者的首次肠梗阻发生时间、梗阻性质均可作为临床判断指标,根据患者的实际病情给予合理的治疗时机与合适的手术术式治疗。
Objective To summarize the clinical features of postoperative intestinal obstruction in gastrointestinal malignancies, analyze the causes and discuss the effective treatment methods. Methods Sixty-three patients with gastrointestinal cancer admitted to the First People’s Hospital of Shangqiu City from January 2012 to December 2015 were retrospectively analyzed for the history of intestinal obstruction after surgery. Results In the diagnosis, there were 42 patients with obstruction caused by non-tumorous factors such as intestinal adhesion, internal hernia and intussusception, 21 patients with postoperative obstruction due to tumor recurrence; 53 patients with incomplete obstruction, 10 patients with complete obstruction . The average duration of initial treatment for intestinal obstruction in patients with tumorous obstruction was (11.8 ± 7.3) months, and the mean time to initial treatment for intestinal obstruction in patients with non-neoplastic obstruction was (7.3 ± 3.2) months. Conclusion Accurately determine the clinical features of postoperative intestinal obstruction of gastrointestinal cancer is of great significance to improve the therapeutic effect. The time of first intestinal obstruction and the nature of obstruction in patients with postoperative intestinal obstruction of gastrointestinal cancer can be used as clinical indicators, according to The actual condition of the patient gives a reasonable timing of the treatment and appropriate surgical procedures.