【摘要】 目的 探讨胃肠道恶性肿瘤术后肿瘤复发性肠梗阻的临床特点及诊断要点。 方法 将91例胃肠道恶性肿瘤术后肠梗阻再手术患者分为肿瘤复发组和非复发组，对其病理、病程、临床症状和体征、癌胚抗原(CEA)检测等方面进行回顾性分析。 结果 肿瘤复发组具有原发肿瘤分化程度低肿瘤分期晚、CEA阳性率和平均值高等特点(P<0.05);两组在肠梗阻主要临床症状和体征、梗阻类型和部位及病程等方面差异存在显著性(P<0.01)。 结论 两组间的上述差异点可作为胃肠道恶性肿瘤术后肿瘤复发性肠梗阻诊断的要点因素。

    【关键词】 肠梗阻 胃肠道肿瘤 手术后

    Clinical characteristics of intestinal obstruction due to recurrent gastrointestinal carcinoma

    Jiang Xu

    Department of General Surgery，Third People's Hospital of Yongzhou，Hunan425000.

    【Abstract】 Objective To investigate the main etiological factors and clinical characteristics of intestinal ob-struction after operation for gastrointestinal cancer.Methods Compared with surgical outcomes，many indexes of91patients with intestinal obstruction after operation for gastrointestinal carcinoma were analysed retrospectively ......