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目的 探讨直肠癌手术后早期肠梗阻的临床特点和手术时机。方法 回顾分析直肠癌手术 40 8例术后早期肠梗阻 2 6例的临床资料。结果 2 1例经手术探查发现以机械性梗阻占多数 (19 2 1) ,手术治愈 18例 ;死亡 3例 ,死亡原因均为延误手术时机造成。非手术治愈 5例。结论 直肠癌术后早期肠梗阻虽有梗阻症状 ,但由于术后诸多因素的影响 ,大多缺乏典型机械性梗阻的临床表现 ,易与术后肠麻痹 ,炎性粘连梗阻相混淆 ,应注意加以鉴别。处理中可先进行适当时间的非手术治疗 ,但非手术治疗未能缓解梗阻症状或反复出现“通而不畅”的现象 ,应警惕是机械性因素引起 ,需再次手术探查
Objective To investigate the clinical features and surgical timing of early intestinal obstruction after rectal cancer surgery. Methods The clinical data of early postoperative intestinal obstruction in 38 cases of rectal cancer were retrospectively analyzed. RESULTS: In 21 cases, surgical exploration revealed that mechanical obstruction was the majority (1921), 18 cases were cured, and 3 cases died. All causes of death were delayed surgical timing. Non-surgical cure in 5 cases. Conclusion Although early obstruction of rectal cancer has obstructive symptoms after operation, due to many factors of postoperative surgery, most of them lack the clinical manifestations of typical mechanical obstruction and are easily confused with postoperative intestinal paralysis and inflammatory adhesion obstruction. . Non-surgical treatment may be performed for a suitable period of time in the treatment, but non-surgical treatment fails to relieve obstructive symptoms or recurrent “unreasonable” phenomenon, it should be vigilantly caused by mechanical factors, need to be re-surgically explored