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梗阻性大肠癌病人的五年生存率低。以往处理这种病人多行转流性结肠造口,二期手术切除肿瘤和关闭造口。本文报告采用APACHE Ⅱ计分法,选择病人及术式,效果较好。病人及方法:1978～1990年间共收治大肠癌合并完全性肠梗阻80例,并在12小时内手术。其中男33,女47,平均年龄68.6。其中右半结肠癌22例,横结肠癌5例,降结肠癌18例,乙状结肠癌29例,直肠癌6例。结果:25例右半结肠癌中,21例行一期肿瘤切除并结肠吻合术。3例只行近端转流性结肠造口术。1例探查发现肿瘤已无法切除。55例左半结肠癌中,33例只行转流性结肠造口术;21例一期切除肿瘤,其
The five-year survival rate of patients with obstructive colorectal cancer is low. In the past, this patient was treated with multiple lines of reflux colostomy, and the tumor was surgically resected and the stoma closed. This article reported that the APACHE II scoring method was used to select patients and surgical methods, and the results were better. Patients and Methods: A total of 80 patients with colorectal cancer and complete intestinal obstruction were treated between 1978 and 1990, and surgery was performed within 12 hours. Including 33 males and 47 females, the average age is 68.6. Among them, there were 22 cases of right colon cancer, 5 cases of transverse colon cancer, 18 cases of descending colon cancer, 29 cases of sigmoid colon cancer, and 6 cases of rectal cancer. RESULTS: Of the 25 right colon cancers, 21 underwent primary tumor resection and colon anastomosis. In 3 cases, only proximal reflux colostomy was performed. In one case, it was discovered that the tumor could not be removed. Of the 55 cases of left colon cancer, 33 underwent only transfluent colostomy; 21 underwent primary resection of the tumor.