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目的探讨结肠癌性梗阻的诊断、病理变化和手术方式的选择。方法分析 1997年 6月～ 2 0 0 0年 5月 40例癌性结肠梗阻的治疗情况和疗效。结果本组病例均作急诊手术 ,右半结肠切除 17例 ,横结肠切除 7例 ,左半结肠切除 8例 ,乙状结肠造瘘 2周后行左半结肠切除 3例 ,单纯结肠造瘘 5例 ,本组病例无一例死亡。结论提高对大肠癌的早期诊断率 ,是防止结肠癌性梗阻的关键
Objective To investigate the diagnosis, pathological changes and surgical methods of colon cancer obstruction. Methods From June 1997 to May 2004, 40 cases of cancerous colon obstruction were treated and their therapeutic effects were analyzed. Results This group of patients were treated by emergency surgery. The right half of the colon resection in 17 cases, transverse colon resection in 7 cases, left half colon resection in 8 cases, sigmoid colon fistula in 2 weeks after the left half colon resection in 3 cases, simple colostomy in 5 cases, No one died. Conclusion To improve the early diagnosis of colorectal cancer rate is the key to prevent colon cancer obstruction