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本文报告33例结肠癌所致急性肠梗阻的诊治体会.认为结肠癌是大肠梗阻的常见原因.无腹部手术史的老年患者肠梗阻应首先考虑结肠癌的可能性,腹透是常用而较简便的鉴别诊断方法之一.钡灌肠和纤维结肠镜应慎用,作者提倡在严格掌握指征的情况下争取行Ⅰ期吻合术.并对其适应症进行了讨论,本组25例行根治术加Ⅰ期吻合.无吻合口瘘发生。
This article reports the diagnosis and treatment of 33 cases of colonic cancer-induced acute intestinal obstruction. Colon cancer is considered to be a common cause of large bowel obstruction. Elderly patients with no history of abdominal surgery intestinal obstruction should first consider the possibility of colon cancer, peritoneal dialysis is commonly used and relatively simple One of the differential diagnosis methods. Barium enema and colonoscopy should be used with caution. The author advocates that in the case of strict control of the indications to fight for the first stage of anastomosis. And the indications are discussed, this group of 25 cases of radical surgery Plus I phase anastomosis. No anastomotic fistula occurred.