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目的:探讨大肠癌的临床治疗方法。方法:回顾性分析2008年至2011年我院收治的31例大肠癌患者的临床资料。结果:术前误诊7例,临床治愈23例,出现吻合口瘘2例,死亡3例,自动出院3例。结论:大肠癌术前发生误诊主要是患者表现不典型,医务人员检查不全面。减少误诊的方法是提高对大肠癌的认识。大多数患者可行一期根治性切除吻合术;对老年且有梗阻的患者,应慎重选择一期切除吻合;一般情况下,相对不良者宜行二期手术或一期切除,然后再行肠造口术。
Objective: To explore the clinical treatment of colorectal cancer. Methods: The clinical data of 31 patients with colorectal cancer admitted in our hospital from 2008 to 2011 were analyzed retrospectively. Results: 7 cases were misdiagnosed before operation, 23 cases were clinically cured, 2 anastomotic fistula occurred, 3 died and 3 cases were discharged automatically. Conclusion: The preoperative misdiagnosis of colorectal cancer is mainly atypical manifestations of patients, medical staff check is not comprehensive. The way to reduce misdiagnosis is to raise awareness of colorectal cancer. Most patients with a feasible radical resection and anastomosis; elderly and obstructive patients should be carefully selected a resection and anastomosis; under normal circumstances, the relative poor should be performed two surgical or primary resection, and then rectal Oral surgery.