The therapeutic method of cancer of colon summarizes _'s treatment

The therapeutic method of cancer of colon summarizes _'s treatment
Surgery excises and remains present main therapeutic method, and can complement by chemotherapy, immunization therapy, traditional Chinese medicine and other support treatments.
(1) Surgery treatment
1.Prepare before the skill
Besides preparing before the regular skill, the colon operation must make intestinal preparations to include Clean the intestine: Enter few dregs or have no dreg diet in two days before operation; Took laxative in 1- 2 days before the skill, if the person who has constipation or not complete intestinal obstruction used medicine several days ahead of time according to the circumstances; Clean enema, difficult according to defecating but go on in one day or several days before Yu Shu. The intestine are sterilized: Kill the pathogen in the intestine, especially the common anaerobe drafts bacillus,etc. such as being fragile, the intersection of leather and getting blue negative aerobic bacillus. The former of medicine of it mainly should use first nitre thiazole ' Metronidazole) ,The latter can use sulfa drugs, neomycin, erythromycin, kanamycin,etc.. Intestine make adequate preparation, can reduce in the skill polluting, reduce, infect favorable to heal.
Some domestic and foreign hospitals take the whole intestine to irritate and wash the method to do the intestine to prepare at present, method instil or take orally by stomach tube formulate specially irritate lotion (including certain electrolyte and intestinal disinfectant of density, keep certain oozing and is pressed) ,Consumption is 4- 8 liters, squating and seating, on the device defecating. Can reach the clean and disinfecting purpose of intestine at the same time.
2.Operation method
( 1) Right deviation half a colon excise skill ' Fig. 2-88) Suitable for the caecum, cancerous swelling of colon and colon liver song department rises. Excise the range: The intersection of ileum and terminal 15- 20, caecum, rise colon and half right of transverse colon, together with affiliated to tie membrane and lymph node. Cancerous swelling of the liver song still needs to excise the greater part of transverse colon and lymph node of the right artery group of stomach omentum. Make, go back excise, colon end identical or end identical ' Sew and close and form the heartbroken end) .
( 2) Half a colon excises the skill on the left ' Fig. 2-89) Suitable for descending colon, colon and spleen cancerous swelling of song department. Excise the range: The intersection of transverse colon and half left, descending colon, some, all second the intersection of form and colon, together with affiliated to tie membrane and lymph node. Colon, colon or colon fit with end of rectum after excising.
( 3) The transverse colon excises the skill ' Fig. 2-90) Suitable for transverse colon cancerous swelling. Excise the range: Transverse colon, liver song, spleen song. Excise, make and rise, the descending colon are identical in end. If the identical tension is too big, can add half a colon in Right deviation to excise, act as, answer, the colon is identical.
( 4) Second the intersection of form and radical cure, colon of cancerous swelling excise ' Fig. 2-91) According to the concrete position of cancerous swelling, except excising second form colon, or do the descending colon are excised or some rectum is excised. It is identical to make colon and colon or colon rectum.
( 5) After making the intestine to prepare with the intestinal obstruction patient's operation principle skill if the intestines content thing is obviously reduced, patient's situation is allowed, can do one to excise identically and but should take the protective measure in the skill, try hard to reduce pollution. If the intestine are plentiful, the patient will have bad situation, can do the colostomy of the near side of tumour first, and then the second stage of effecting a radical cure excision skill after patient's situation takes a favorable turn.
( 6) Can't make the intersection of operation and the intersection of principle and the intersection of tumour and part to radically treat skill, invade moist and extensive, or fixed can be excised, with surrounding tissue, internal organs, obstruct if intestines already or shortly after may obstruct,can use by tumour distal side and the short circuit operations of near side, can also make colostomy. If have at a distance the internal organs are shifted but when some tumour is still allowed to excise, can condone and excise with the part, in order to relieve obstructing, chronic symptom of lose blood, is infected with and poisonedding etc..
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