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目的:分析梗阻性大肠癌的临床特点和外科治疗效果。方法:回顾性总结我院1994～2005年53例梗阻性大肠癌的临床治疗资料。结果:大肠癌梗阻占急性肠梗阻的50.91%,居首位。梗阻发生部位以右半结肠区最多,占51.27%,左半结肠区仅占15.18%;所有患者均经手术治疗,其中,一期切除吻合37例,占69.8%;短路手术9例,占16.9%;单纯造瘘术4例,占7.5%;死亡3例,死亡率5.6%。结论:提高对梗阻性大肠癌临床特点的认识,正确选择手术时机和合理的手术方式能获得良好的预后。
Objective: To analyze the clinical features and surgical treatment of obstructive colorectal cancer. Methods: The clinical data of 53 patients with obstructive colorectal cancer in our hospital from 1994 to 2005 were retrospectively reviewed. Results: Colorectal cancer obstruction accounted for 50.91% of acute intestinal obstruction, ranking the first place. Obstruction occurred in the right half of the colon area, accounting for 51.27%, left half of the colon area accounted for only 15.18%; all patients were surgically treated, including 37 cases of primary resection and anastomosis, accounting for 69.8%; short-circuit surgery in 9 cases, accounting for 16.9 %; Simple ostomy in 4 cases, accounting for 7.5%; 3 died, the mortality rate of 5.6%. Conclusion: To improve the understanding of the clinical features of obstructive colorectal cancer, the correct choice of operation timing and reasonable surgical approach to obtain a good prognosis.