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重视姑息治疗是临床肿瘤学发展的重要趋向。恶性肠梗阻是晚期癌症患者姑息治疗的难题之一。对于常规手术无法解除梗阻及去除病因的晚期及终末期癌症的恶性肠梗阻,患者不仅要承受呕吐、腹痛、腹胀、无法进食等病痛的折磨,而且可能还要承受放弃治疗的精神痛苦。中国抗癌协会癌症康复与姑息治疗专业委员会组织癌症姑息治疗、肿瘤内科、肿瘤外科、普通外科、妇科肿瘤、影像学等多学科专家,制定了《晚期癌症患者合并肠梗阻治疗的专家共识》。专家们全面讨论了恶性肠梗阻发病机制及诊疗研究进展,重点探讨了恶性肠梗阻的规范化姑息治疗方法,达成一致共识。指出对于不能手术解除的恶性肠梗阻,采用合理治疗措施,可以有效缓解症状,改善患者的生活质量。这对于临床工作具有一定的指导意义,特予刊载,供广大临床医生参考。
Pay attention to palliative treatment is an important trend of clinical oncology. Malignant bowel obstruction is one of the problems of palliative treatment in patients with advanced cancer. For conventional surgery can not remove the obstruction and eliminate the cause of advanced and end-stage malignant intestinal obstruction, the patient not only to withstand vomiting, abdominal pain, abdominal distension, unable to eat and other pain and suffering, and may also have to give up the mental pain of giving up. China Anti-cancer Association of Cancer Rehabilitation and Palliative Care Committee organized palliative cancer treatment, oncology, oncology surgery, general surgery, gynecologic oncology, imaging and other multidisciplinary experts to develop a “advanced cancer patients with intestinal obstruction expert consensus.” Experts comprehensively discussed the pathogenesis of malignant intestinal obstruction and the progress of diagnosis and treatment, focusing on the standardized palliative treatment of malignant intestinal obstruction, reached consensus. Pointed out that the operation can not be relieved of malignant intestinal obstruction, the use of reasonable treatment can effectively alleviate the symptoms and improve the quality of life of patients. This has some guiding significance for clinical work, especially for the publication, for the majority of clinicians for reference.