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目的探讨急性结肠梗阻的处理方法。方法回顾性总结62例大肠癌急性结肠梗阻的手术处理方法和治疗效果。结果右半结肠梗阻21例,全部行一期切除吻合术;其余41例低位梗阻患者中31例行一期切除吻合,4例行Miles术,3例行Hatmann术,2例行单纯造口术,1例行短路加造口术,术后低位梗阻一期切除吻合患者中2例出现吻合口瘘,经治疗痊愈,无死亡病例。结论对于梗阻时间短、肠壁水肿轻的急性左半结肠癌梗阻患者,结合术中结肠灌洗,进行一期切除吻合是安全的。
Objective To investigate the treatment of acute colonic obstruction. Methods A retrospective review of 62 cases of colorectal cancer with acute colonic surgical treatment and treatment. Results The right half colon obstruction in 21 cases, all the line resection and anastomosis; the remaining 41 cases of low obstruction in patients with 31 cases of a resection and anastomosis, 4 Miles treatment, 3 cases of Hatmann surgery, 2 cases of simple ostomy , A routine short-circuit plus ostomy, postoperative low obstruction in patients with anastomosis in 2 cases of anastomotic fistula, after treatment, no deaths. Conclusion For patients with acute obstruction of left colon cancer with short obstruction and mild edema of the intestinal wall, combined with intraoperative colonic lavage, it is safe to perform a one-stage resection and anastomosis.