Types and treatment of easily-missed, misdiagnosed intestinal obstruction after radical radiotherapy of cervical cancer
10.3760/cma.j.cn112152-20200414-00346
- VernacularTitle:宫颈癌根治性放疗后容易漏诊误诊的肠梗阻类型及处理方法探讨
- Author:
Guoqiang ZHANG
1
;
Gangcheng WANG
;
Yingjun LIU
;
Youcai WANG
;
Dan LI
;
Chongqing GAO
;
Liangliang DING
;
Yang LIU
;
Guangsen HAN
Author Information
1. 郑州大学附属肿瘤医院 河南省肿瘤医院普外科，450000
- Keywords:
Cervical neoplasms;
Radiotherapy;
Intestinal obstruction;
Reoperation
- From:
Chinese Journal of Oncology
2020;42(11):973-975
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the types and treatment methods of easily-missed, misdiagnosed intestinal obstruction after radical radiotherapy of cervical cancer.Methods:The clinical data of 21 patients with intestinal obstruction after radical radiotherapy of cervical cancer in our hospital from May 2013 to May 2019 were collected, including the radiation dose, obstruction symptoms, surgical methods and treatment outcomes. The types and treatment methods of intestinal obstruction after radical radiotherapy of cervical cancer were further investigated.Results:The intestinal obstruction occurred in 21 patients with cervical cancer after radical radiotherapy. All patients were initially diagnosed as rectal obstruction and underwent the transverse colostomy. The obstruction symptoms were successfully resolved in 15 patients while failed in other 6 patients who then underwent the re-operation. Four patients with rectal obstruction accompanied by middle or terminal ileum obstruction underwent ileostomy, the other 2 patients with terminal ileum obstruction underwent the transverse ileal anastomosis and partial intestines exclusion surgery. All of the obstruction symptoms were alleviated.Conclusions:Rectal is the major obstruction site of the cervical cancer patients with intestinal obstruction after radical radiotherapy. However, a possibility of obstruction at the middle or end of the ileum also exists. Therefore, it is very important to avoid misdiagnosis and conduct appropriate operative treatment according to the obstruction site.
