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自1980年以来,我科手术治疗大肠癌合并肠梗阻24例,占同期大肠癌手术的13.9％。其中男15例,女9例。年龄22～82岁、急诊行切除吻合手术18例,切除率75.0％。右半结肠切除6例,左半结肠切除12例。切除术后均行一期吻合。左半结肠癌合并梗阻者,行术中肠管减压并灌洗,其中4例做近端盲肠造瘘,8例将灌洗管经盲肠引出固定,起减压的作用,术后7～10天拔除。18例切除吻合术后未发生吻合口瘘。病变无法切除者分别做了短路和单纯造瘘
Since 1980, our department has treated 24 cases of colorectal cancer with intestinal obstruction, accounting for 13.9% of colorectal cancer surgery in the same period. There were 15 males and 9 females. Aged 22 to 82 years old, emergency resection and anastomosis in 18 cases, the resection rate was 75.0%. Right colon resection in 6 cases, left colon resection in 12 cases. All the anastomosis were performed after resection. Left colon cancer with obstruction, underwent intraoperative decompression and lavage, including 4 cases of proximal cecal fistula, 8 cases will be lavage tube through the caecum fixed, from the role of decompression, after surgery 7 ~ 10 Unplugged on a daily basis. 18 cases of anastomotic leakage did not occur after resection and anastomosis. The unresectable lesions were short-circuited and simple fistula