【摘要】 目的　讨论胃肠道肿瘤术后肠梗阻的临床特点、主要病因及对策。方法　以手术探查结果作为诊断标准 ,回顾性分析自 1988年 1月至 2 0 0 0年 12月 67例胃肠道肿瘤术后肠梗阻病人的分期、病程、临床症状和体征、癌胚抗原(CEA)测定等方面进行了分析。结果　 45例由于粘连引起的肠梗阻 (67.16% ) ,8例肿瘤复发引起肠梗阻 (11.94% ) ,3例肠扭转 (4.48% ) ,4例形成内疝 (5 .97% ) ,4例由于吻合口具有张力成角或吻合口不当引起梗阻 (5 .97% ) ,2例由于引流管压迫肠管导致梗阻 (2 .99% ) ,1例由于第二原发癌引起梗阻 (1.49% )。结论　胃肠道肿瘤术后肠梗阻主要病因是粘连性肠梗阻 ,通过外科医生仔细操作 ,避免诱发肠粘连的因素 ,可以有效预防和减少术后粘连性肠梗阻。更多还原

【Abstract】 Objective To analyze the clinical features, causes and its treatment for bowel obstruction in gastrointestinal cancers postoperatively .Methods From Jan. 1988 to Dec.2000,sixty-seven cases were diagnosed as postoperative bowel obstruction and studied retrospectively. The stage, time, clinical appearance and tumor marker (CEA) of the disease were analyzed.Results Forty-five cases of the obstruction were caused by adhesions(67.16%), eight caused by cancer recurrence(11.94%), three caused by bowel torsions(4.48%),four caused by intra-abdominal herniaes(5.97%),four caused by tight anastomoses or incorrect anastomosis (5.97%), two by stretch tube(2.99%),and one by the second primary tumor lobe(1.49%).Conclusions The main cause for bowel obstructions is adhesion and it could be prevented effectively by careful operation.更多还原