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目的探讨表现为急性肠梗阻的结肠癌病例术前诊断和手术治疗。方法对1999-2009年间接治的15例急性结肠癌梗阻患者进行回顾性分析。结果 15例结肠癌引起的急性肠梗阻患者均接受手术治疗,一期切除吻合10例,Hartmann’s式造口4例,晚期无法切除1例。结论结肠癌引起的急性肠梗阻要积极行手术治疗,大多数一期切除吻合是安全的。
Objective To investigate the preoperative diagnosis and surgical treatment of colon cancer with acute intestinal obstruction. Methods A retrospective analysis was performed on 15 patients with acute colon cancer who were treated in our hospital from 1999 to 2009. Results Fifteen patients with acute intestinal obstruction caused by colon cancer underwent surgical treatment. One patient underwent resection and anastomosis in 10 cases, Hartmann’s type ostomy in 4 cases, and one case unresectable in late stage. Conclusion Acute intestinal obstruction caused by colon cancer should be actively treated by surgery. Most resections and anastomoses are safe.