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目的:探讨结肠癌并发急性肠梗阻外科手术治疗的安全性和可行性。方法:回顾性分析38例结肠癌并发急性肠梗阻患者外科治疗的临床资料。结果:38例患者中癌瘤位于回盲肠的5例,升结肠7例,横结肠3例,结肠脾曲4例,降结肠4例,乙状结肠15例。行一期结肠癌切除吻合29例,分期手术切除吻合8例。1例行姑息性手术。术后发生吻合口瘘5例,切口感染3例,发生者年龄均大于60岁,全身状况差,并发肠粘连,经胃肠减压、积极抗感染,加强支持治疗后,均治愈。结论:正确掌握结肠癌并发急性肠梗阻手术时机和术中肠道灌洗方法,合理选择手术方式,做好围手术期和术后的处理是保证治疗成功的重要基础。
Objective: To investigate the safety and feasibility of surgical treatment of colon cancer complicated with acute intestinal obstruction. Methods: A retrospective analysis of 38 cases of colon cancer complicated with acute intestinal obstruction in patients with surgical treatment of clinical data. Results: Among the 38 patients, 5 were located in the cecum, 7 in the ascending colon, 3 in the transverse colon, 4 in the colon and spleen, 4 in the descending colon and 15 in the sigmoid colon. A colon cancer resection and anastomosis in 29 cases, staged surgical resection and anastomosis in 8 cases. 1 routine palliative surgery. Anastomotic fistula occurred in 5 cases after incision infection in 3 cases, the occurrence of those who were older than 60 years old, poor general condition, complicated by intestinal adhesions, gastrointestinal decompression, active anti-infection, and supportive care were cured. Conclusion: Correctly grasp the timing of colon surgery complicated with acute intestinal obstruction and intraoperative intestinal lavage method, a reasonable choice of surgical approach, perioperative and postoperative management is an important basis to ensure the success of treatment.