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目的:探讨结直肠癌并急性肠梗阻病例的治疗方法。方法:回顾性分析我院1998/2008年收治的84例结直肠癌并急性肠梗阻患者的临床资料。结果:手术治疗84例结直肠癌并急性肠梗阻,其中行一期切除70例(83.3%),结肠造口7例,捷径手术5例,吻合口瘘3例,死亡4例。结论:结直肠癌并急性肠梗阻的治疗要根据患者的全身情况和肿瘤的局部情况来综合判定,适应证掌握恰当,一期肿瘤切除和吻合术是安全的。
Objective: To investigate the treatment of colorectal cancer with acute intestinal obstruction. Methods: The clinical data of 84 patients with colorectal cancer with acute intestinal obstruction admitted to our hospital from 1998 to 2008 were analyzed retrospectively. RESULTS: Surgical treatment of 84 cases of colorectal cancer with acute intestinal obstruction included 70 cases (83.3%) with primary resection, 7 cases with colostomy, 5 cases with shortcut surgery, 3 cases with anastomotic fistula and 4 cases died. Conclusion: The treatment of colorectal cancer with acute intestinal obstruction should be based on the overall condition of the patient and the local situation of the tumor to determine the appropriate indications to be properly, a tumor resection and anastomosis is safe.