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目的 探讨结肠癌性肠梗阻的诊断及治疗。方法 对结肠癌性肠梗阻的诊断、手术治疗的术前准备、手术时机、手术方式选择进行了分析。结果 本组术前能确诊的结肠癌 1 1例 ,以“腹痛待查”诊断者 1 5例。 1 2例右半结肠癌行一期右半结肠切除 ,1 4例左半结肠癌 ,也行左半结肠切除 ,其中 1 0例一期吻合 ,3例横结肠造瘘 ,1例Hartmann手术 ,2例死亡。结论 结肠癌性肿块并肠梗阻诊断一经确诊 ,应争取一期切除吻合。术中结肠减压及灌洗是左半结肠癌安全进行结肠一期切除吻合的重要措施
Objective To investigate the diagnosis and treatment of colonic intestinal obstruction. Methods The diagnosis of colonic intestinal obstruction, the preoperative preparation for surgery, the timing of operation, and the choice of surgical methods were analyzed. Results There were 11 cases of colon cancer diagnosed before operation in this group, and 15 cases diagnosed with abdominal pain to be investigated. Twelve patients with right colon cancer underwent right hemicolectomy in one stage and left colon cancer in 14 patients. Left hemicolectomy was also performed. Among them, 10 patients had primary anastomosis, 3 had transverse colostomy, and 1 had Hartmann’s operation. 2 Case died. Conclusion Once the diagnosis of colorectal masses and intestinal obstruction is diagnosed, one-stage resection and anastomosis should be pursued. Intraoperative colon decompression and lavage are important measures for the safety of colon resection and anastomosis in left colon cancer