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目的：探讨老年人结肠癌并发急性梗阻的临床合理治疗方式。方法：对1980～1998年收治38例的手术治疗进行回顾性分析，经彻底减压肠管及灌洗后，全部能切除肿瘤，多数行Ⅰ期吻合，少数行结肠造瘘。结果：肿瘤均Ⅰ期切除，无手术死亡，无吻合口漏发生。结论：老年结肠癌并急性梗阻应积极手术治疗，尽量行Ⅰ期肿瘤切除，严格选择病例行Ⅰ期吻合，可避免吻合口漏的发生。
Objective: To explore the clinical treatment of acute obstruction of colon cancer in elderly patients. METHODS: Retrospective analysis was performed on 38 cases of surgical treatment from 1980 to 1998. After complete decompression of the intestine and lavage, all tumors were resected. Most of the patients underwent stage I anastomosis and a few underwent colostomy. Results: All tumors were resected at the first stage, no operative death occurred, and no anastomotic leakage occurred. Conclusion: The elderly patients with colon cancer and acute obstruction should be actively treated with surgical resection of stage I tumors. Strictly selected cases of stage I anastomosis can avoid the occurrence of anastomotic leakage.