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目的 探讨Hartmann’s术在大肠癌并发肠梗阻中的应用价值。方法 结合文献回顾性分析行Hartmann’s术 2 5例 ,评估Hartmann’s手术效果及局限性。结果 2 5例Hartmann’s术 ,得到Ⅰ期根治术的32 0 % (8/ 2 5 ) ;姑息性手术 5 6 0 % (14/ 2 5 ) ;病死率 12 0 % (3/ 2 5 )。结论 Hartmann’s术是大肠癌并发肠梗阻不宜Ⅰ期手术切除吻合病例的首选 ,但应严格掌握适应证。
Objective To investigate the value of Hartmann’s technique in the treatment of colorectal cancer with intestinal obstruction. Methods A total of 25 Hartmann’s patients were reviewed retrospectively to evaluate the effectiveness and limitations of Hartmann’s surgery. Results Twenty-five (85%) cases of stage Ⅰ radical mastectomy were treated with Hartmann’s operation. The palliative operation was 56.0% (14/2 5) and the mortality was 120% (3/25). Conclusion Hartmann’s surgery is the first choice of colorectal cancer complicated with intestinal obstruction should not be Ⅰ resection and anastomosis cases, but should be strictly controlled indications.