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目的:探讨结肠癌致肠梗阻的外科治疗方法,总结治疗经验。方法:选取2005年10～2012年10月在我院治疗100例结肠癌致肠梗阻病例进行回顾性分析,全部运用外科手术治疗,观察治疗后的效果情况。结果:右半结肠切除术、右半结肠及横结肠切除术,横结肠切除术,左半结肠切除且吻合术,左半结肠切除、近端结肠造瘘、远端吻合结肠术的术后感染率和1年内死亡率分别为12.1%、27.3%,9.5%、23.8%,11.1%、33.3%,11.7%、23.5%,10%、25%。各组间比较无明显的差异性,p>0.05,无统计学意义。结论:结肠癌致肠梗阻外科治疗成功的关键是重视围手术期处理和选择合适的手术方式。
Objective: To investigate the surgical treatment of intestinal obstruction caused by colon cancer and to summarize the experience of treatment. Methods: A retrospective analysis of 100 cases of intestinal obstruction caused by colon cancer in our hospital from October 2005 to October 2012 was performed. Surgical treatment was used to observe the effect after treatment. Results: The rates of postoperative infection of right hemicolectomy, right colon and transverse colon resection, transverse colon resection, left half colon resection and anastomosis, left half colon resection, proximal colostomy, distal colon anastomosis and The death rates within one year were 12.1%, 27.3%, 9.5%, 23.8%, 11.1%, 33.3%, 11.7%, 23.5%, 10% and 25% respectively. No significant difference between the groups, p> 0.05, no statistical significance. Conclusion: The key to successful surgical treatment of intestinal obstruction caused by colon cancer is to pay attention to perioperative management and to choose the appropriate surgical approach.