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目的:总结结肠癌并发肠梗阻的外科治疗原则、手术方法及临床疗效。方法:对2007年3月～2011年9月手术治疗的33例结肠癌并肠梗阻患者的临床资料进行回顾性分析。结果:33例患者术后肠梗阻症状均获缓解,肠蠕动恢复良好,行Ⅰ期切除吻合术22例,Ⅰ期切除近端造瘘Ⅱ期吻合术7例,单纯造瘘3例,捷径吻合术1例。术后切口感染3例,吻合口漏1例,均经换药引流1周后治愈,无手术死亡病例。结论:根据患者具体情况合理选择手术方式,正确的术中操作和围手术处理是提高疗效,减少术后并发症,降低病死率,、改善患者生活质量的重要保证。
Objective: To summarize the surgical treatment principles, surgical methods and clinical curative effects of colon cancer complicated by intestinal obstruction. Methods: The clinical data of 33 cases of colon cancer and intestinal obstruction after surgery from March 2007 to September 2011 were retrospectively analyzed. RESULTS: The postoperative intestinal obstruction symptoms were relieved in 33 cases and the peristalsis recovered well. Twenty-two patients underwent stage I resection and anastomosis, 7 cases underwent stage II anastomosis with proximal endostomy, and 3 cases underwent simple fistula. 1 case. Postoperative incision infection occurred in 3 cases and anastomotic leakage occurred in 1 case. All patients were cured after drainage for 1 week, and there were no operative deaths. Conclusion: According to the specific circumstances of patients, a reasonable choice of surgical methods, the correct intraoperative operation and perioperative treatment is to improve efficacy, reduce postoperative complications, reduce mortality, and improve the quality of life of patients is an important guarantee.