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目的探讨结直肠癌致肠梗阻的外科手术治疗方法。方法回顾性分析我院2000年1月～2007年12月间收治的78例结直肠癌致肠梗阻外科手术治疗资料。结果78例患者中1期行右半结肠切除23例,1期行横结肠切除5例,1期行左半结肠切除31例,1期行左半结肠切除、近端结肠造瘘、远端封闭5例,姑息性行乙状结肠或横结肠造瘘12例,直肠根治切除2例。术后并发症发生率17.9%(14/78),围手术期病死率3.8%(3/78)。结论重视结直肠癌致肠梗阻的围手术期处理,选择合理的手术方式是提高疗效,减少并发症的重要保证。
Objective To investigate the surgical treatment of intestinal obstruction caused by colorectal cancer. Methods A retrospective analysis of 78 cases of colorectal cancer with intestinal obstruction treated in our hospital from January 2000 to December 2007 was performed. Results Of the 78 patients, 23 cases underwent right half-colon resection, 1 case underwent transverse colon resection in 5 cases, 1 case underwent left-sided colon resection in 31 cases, and 1 case underwent left-half colon resection, proximal colostomy, and distal closure 5 cases, palliative sigmoid colon or transverse colostomy in 12 cases, radical resection in 2 cases. The postoperative complication rate was 17.9% (14/78) and the perioperative mortality rate was 3.8% (3/78). Conclusion Paying attention to perioperative management of intestinal obstruction caused by colorectal cancer, choosing a reasonable surgical approach is an important guarantee to improve curative effect and reduce complications.