目的分析梗阻性大肠癌的临床诊断和治疗。方法回顾性分析我院自2005年4月至2011年4月收治的梗阻性大肠癌患者52例,对其临床资料进行分析。结果 52例患者均进行手术治疗,47例患者术后恢复良好,无并发症发生。1例(1.9%)死亡,4例(7.7%)出现并发症,死亡原因为多器官衰竭,并发病为吻合口瘘1例,切口感染1例,肺部感染2例,随访时间超过3年者39例,其中存活33例(84.6%);获得5年以上随访24例,其中存活l5例(62.5%)。结论梗阻性大肠癌选择合适的手术时机和合理的手术方式能获得良好的预后,加强围术期营养代谢支持和功能支持可有效地降低病死率。 Objective To analyze the clinical diagnosis and treatment of obstructive colorectal cancer. Methods A retrospective analysis of 52 cases of obstructive colorectal cancer admitted to our hospital from April 2005 to April 2011, the clinical data were analyzed. Results All the 52 patients underwent surgical treatment, and 47 patients recovered well after surgery without any complication. One patient (1.9%) died and four patients (7.7%) had complications. The cause of death was multiple organ failure. One patient had anastomotic fistula, one patient had an incision infection and two had pulmonary infection. The follow-up time was more than 3 years Among them, 39 cases were alive, of which 33 cases were alive (84.6%); 24 cases were followed up for more than 5 years, of which 15 cases survived (62.5%). Conclusion Obstructive colorectal cancer choose a suitable timing of surgery and reasonable surgical approach to obtain a good prognosis, perioperative nutrition and metabolic support and functional support can effectively reduce the case fatality rate.