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目的 :探讨大肠癌急性肠梗阻的外科处理。方法 :回顾性收治的 35例大肠癌急性肠梗阻的诊断和治疗资料。结果 :35例中 ,Ⅰ期切除吻合 2 1例 ,其中右半结肠 8例 ,直肠 1例 ,左半结肠 12例。 6例左半结肠癌及 1例直肠癌行Ⅰ期根治切除造瘘 ,Ⅱ期闭瘘。 3例左半结肠癌及 1例直肠癌行Ⅰ期造瘘 ,Ⅱ期切除吻合。肿瘤无法切除行回肠横结肠吻合 1例 ,乙状结肠造瘘 2例。Ⅰ期切除吻合 ,吻合口漏发生 1例 ,切口感染 3例 ,无死亡病例。结论 :结肠癌急性肠梗阻外科术中处理方式 ,视患者全身及局部情况而定 ,力争Ⅰ期切除吻合 ,以求延长生存期 ,减轻患者痛苦。
Objective: To investigate the surgical treatment of acute intestinal obstruction of colorectal cancer. Methods: The data of 35 cases of colorectal cancer with acute intestinal obstruction were retrospectively reviewed. Results: In 35 cases, 21 cases were resected and anastomosed in stage Ⅰ, including 8 cases of right colon, 1 case of rectum and 12 cases of left colon. 6 cases of left colon cancer and 1 case of rectal cancer underwent radical resection ostomy, Ⅱ stage closed fistula. Three cases of left colon cancer and one case of rectal cancer underwent stage ostomy and stage II resection and anastomosis. Tumor resection of the ileum transverse colon anastomosis in 1 case, sigmoid colon fistula in 2 cases. Stage Ⅰ resection and anastomosis, anastomotic leakage occurred in 1 case, incision infection in 3 cases, no deaths. Conclusion: The surgical treatment of acute intestinal obstruction of colon cancer depends on the systemic and local conditions of the patients and strives for the resection and anastomosis of stage Ⅰ in order to prolong the survival and alleviate the suffering of patients.