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Lingnan Modern Clinics in Surgery ›› 2012, Vol. 12 ›› Issue (06): 469-472.

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Advances of the treatment s to malignant bowel obstruction

  

恶性肠梗阻的治疗进展

许鹤洋1,褚忠华2   

  1. 1. 中山大学孙逸仙纪念医院
    2. 中山大学孙逸仙纪念医院南院
  • 通讯作者: 褚忠华

Abstract: Malignant bowel obstruction is a frequently complication caused by colorectal and gynecological malignancies, which can cause intestinal obstruction. Patients usually have a poor prognosis and their mean survival time is between 4-9months. The current treatments include: surgery、self-expanding stents、pharmacotherapy、percutaneous endoscopic gastrostomy and nasogastric tube. Besides, taking into account of the patients’ poor physical condition, parenteral alimentation can be used, however, there is still disputation on its efficacy. This passage will mainly focus on the current methods of MBO and make some analytic evaluation

Key words: malignancy, bowel obstruction, treatment

摘要: [摘要] 恶性肠梗阻是指由恶性肿瘤引起的肠梗阻,通常是结直肠癌以及妇科恶性肿瘤晚期并发症。患者预后较差,平均生存期只有4~9个月。目前治疗恶性肠梗阻包括手术、置入可扩式支架、药物治疗,以及经皮内镜下胃造口和鼻胃管引流。除此之外,由于患者一般体质较差,还可给予肠外营养支持,不过该治疗效果存在争议。本文就目前恶性肠梗阻的多种治疗方案进行综合分析,并作一定的评估。

关键词: 恶性肿瘤, 肠梗阻, 治疗