关于结直肠癌并发肠梗阻的外科治疗体会.docVIP

关于结直肠癌并发肠梗阻的外科治疗体会 文档信息 属性： Doc-03VFLX，doc格式，正文9556字。质优实惠，欢迎下载！ 说明： 作为医药学资料、医学资料的写作参考资料，提供解决怎么写及格式等相关问题。 适用： 作为文章写作的参考文献，解决如何写好实用应用文、正确编写文案格式、内容摘取等相关工作。 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：关于结直肠癌并发肠梗阻的外科治疗体会 1 1 资料与方法 3 2 结 果 4 3 讨 论 4 文2：结直肠癌并发肠梗阻的外科治疗体会 7 1 资料与方法 8 2 结 果 10 3 讨 论 10 参考文摘引言： 13 原创性声明（模板） 14 文章致谢（模板） 14 正文 关于结直肠癌并发肠梗阻的外科治疗体会 文1：关于结直肠癌并发肠梗阻的外科治疗体会 [ABSTRACT] Objective To review the experience on surgery for colorectal carcinoma presenting with acute intestinal obstruction. Methods A retrospective analysis was made on the clinical data， Jan. 2006-Sep. 2009， of 92 cases of colorectal carcinoma complicated with acute intestinal obstruction due to cancer of right hemicolon (24 cases); travee colon (6 cases)， and left hemicolon or retum (62 cases). Results Of the 92 patients operated， onestage resection was done in 36 patients， twostage resection in 29， and bypass surgery in 27. Those with morbus internus accounted for % (47 patients). Postoperative complicatio were infection of incisional wound (15 cases)， pulmonary infection (5 cases)， infection of abdominal cavity (4 cases)， pleural effusion (1 cases)， pulmonary embolism (1 cases)， and intestinal fistula (1 cases). All patients with postoperative complicatio were cured. Two died of multiple organ failure， and one died of bleeding caused by ureter involvemnt. Postoperative complication rate was %， and mortality %. Conclusion For colorectal cancer presenting with acute intestinal obstruction， timely proper operation should be done according to the specific features of the inpidual. Inteive perioperative care is the key in reducing postoperative complicatio and mortality。 [KEY WORDS] colorectal neoplasms; intestinal obstruction; surgical procedures， operative; postoperative complicatio; prognosis 结直肠癌并发急性肠梗阻是临床常见的急腹症之一，文献报道结直肠癌致结肠梗阻的发生率可达8%～30%，成人结肠梗阻中约40%由结直肠癌引起[12]。由于起病隐匿，发展缓慢，易被人们忽视。当出现典型肠梗阻表现时，临床处理往往非常棘手。而选择正确的手术时机、手术方式以及围手术期处理关系到治疗结果。2006年1月—2009年9月，我院共收治急性癌性