目的 :探讨结直肠癌致急性肠梗阻的外科处理方法。方法 :回顾性分析 1991年 1月至 2 0 0 1年 6月手术探查的急性肠梗阻病例中 73例结直肠癌性梗阻的外科处理。结果 :行 期切除术 6 1例 ,占 83.6 % (6 1/ 73) ,同时 期吻合 4 9例 ,占 80 .3%(49/ 6 1) ,其中左半结肠及直肠肿瘤占 4 4 .9% (2 2 / 4 9)。 72例痊愈出院。术后死亡 1例 ,吻合口瘘 1例。结论 :即便为术中确诊的结直肠癌性急性肠梗阻 ,也应积极争取手术 ,只要适应证掌握恰当 , 期切除和吻合术是安全可靠的 Objective: To investigate the surgical treatment of acute intestinal obstruction caused by colorectal cancer. METHODS: Surgical management of 73 patients with colorectal cancer obstruction in a surgical study of acute intestinal obstruction between January 1991 and June 2001 was retrospectively analyzed. Results: Totally 61 cases underwent resection, accounting for 83.6% (61/73). The same period coincided with 49 cases (80.3% (49/61)), of which the left colon and rectum accounted for 44%. 9% (2 2/4 9). 72 cases were discharged. 1 patient died of postoperative anastomotic fistula in 1 case. CONCLUSIONS: Surgery should be actively pursued even for patients with acute intestinal obstruction diagnosed with colorectal cancer. As long as the indications are properly controlled, the resection and anastomosis are safe and reliable