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目的对结肠癌所致肠梗阻采取手术治疗的术式选择以及临床疗效观察进行分析探讨。方法随机抽取在2010年3月-2012年3月间我院收治的由于结肠癌而导致的肠梗阻临床患者病例56例,对其临床资料展开回顾性分析。结果本次56例患者采取一期肠切除吻合术28例,其中实施结肠减压灌洗(ICI)者15例,未行减压灌洗(CPA)者13例Hartmann’s手术18例,行结肠全切或者是次全切(TSC)者10例;各术式组患者的治愈率、死亡率、吻合口瘘、复发率等差异不具有统计学意义(P>0.05)。结论给予结肠癌致肠梗阻患者及时的早期诊断以及合理的术式选择治疗可以获得十分理想的临床效果,值得注意。
Objective To study the surgical treatment of colon obstruction caused by surgical treatment options and clinical observation. Methods Fifty-six clinical cases of intestinal obstruction caused by colon cancer in our hospital from March 2010 to March 2012 were randomly selected and their clinical data were retrospectively analyzed. Results The 56 patients underwent an intestine resection and anastomosis in 28 cases. Among them, 15 cases underwent decompression lavage (ICI) and 13 cases underwent Hartmann’s operation without decompression lavage (CPA) There were 10 cases with or without TSC. The cure rate, mortality rate, anastomotic fistula and recurrence rate in each operation group were not statistically significant (P> 0.05). Conclusions It is noteworthy that timely and early diagnosis of colon obstruction caused by colon cancer and rational surgical selection therapy can achieve very satisfactory clinical results.