目的:探讨高位直肠癌并急性肠梗阻一期切除吻合的可行性及治疗效果。方法:对25例高位直肠癌并急性肠梗阻患者行一期切除吻合术,然后经肛管减压。结果:25例均康复出院,出现1例切口感染,无腹腔脓肿、吻合口瘘等并发症或死亡的发生。结论:对高位直肠癌并急性肠梗阻的患者,一期切除吻合后经肛管减压,是安全可行的。 Objective: To investigate the feasibility and therapeutic effect of primary resection and anastomosis of high rectal cancer with acute intestinal obstruction. Methods: One case of resection and anastomosis was performed in 25 cases of high rectal cancer with acute intestinal obstruction and then decompressed by anal canal. Results: All 25 cases were recovered and discharged. There was 1 incision infection without abscess and anastomotic fistula and other complications or death. Conclusion: For patients with high rectal cancer with acute intestinal obstruction, it is safe and feasible to perform an anorectal decompression after a resection and anastomosis.