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目的 探讨大肠癌术后近期再手术的原因及防治方法。方法 对 2 1例术后 1月内再手术的大肠癌病人作回顾性分析。结果 切口裂开 7例 ;肠梗阻 5例 (粘连性肠梗阻 4例 ,结肠造口外侧间隙内疝 1例 ) ;吻合口瘘 3例 ,肠瘘 2例 ;腹壁结肠造口缺血坏死及回缩各 1例 ;造口旁小肠疝出 2例。结论 大肠癌术后近期再手术的主要原因是切口裂开、肠梗阻、造口并发症及吻合口瘘。重视围术期处理 ,加强支持治疗 ,术中正确处理 ,可减少大肠癌术后近期并发症及再手术率。
Objective To investigate the reason and prevention and treatment of reoperation after colorectal cancer surgery. Methods Retrospective analysis was performed on 21 patients with reoperation of colorectal cancer within 1 month after operation. Results Incision split in 7 cases; intestinal obstruction in 5 cases (4 cases of adhesive intestinal obstruction, colostomy lateral hernia in 1 case); anastomotic fistula in 3 cases, 2 cases of intestinal fistula; abdominal wall colostomy necrosis and back Shrink in 1 case; stoma side of hernia in 2 cases. Conclusion The main reason for the recent reoperation of colorectal cancer is incision rupture, intestinal obstruction, stoma complications and anastomotic fistula. Emphasis on perioperative management, supportive treatment, intraoperative correct treatment, can reduce the short-term postoperative complications of colorectal cancer and reoperation rate.