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目的探讨大肠癌肠梗阻的外科处理办法。方法分析1995-2006年32例大肠癌肠梗阻患者的外科治疗资料。结果32例患者。一期左半结肠切除吻合5例。左半结肠切除、肿瘤切除、肠造口13例。单纯结肠造口2例。术后无吻合口漏发生,切口感染2例(6.25%),围手术期死亡1例(3.13%)。结论重视对大肠癌肠梗阻的认识,合理选择手术方式,作好围手术期处理,是减少并发症,提高疗效的重要措施。
Objective To investigate the surgical treatment of intestinal obstruction of colorectal cancer. Methods Surgical data of 32 patients with intestinal obstruction of colorectal cancer from 1995 to 2006 were analyzed. Results 32 patients. A left colon resection and anastomosis in 5 cases. Left colon resection, tumor resection, 13 cases of enterostomy. Simple colostomy in 2 cases. No postoperative anastomotic leakage occurred, incision infection in 2 cases (6.25%) and perioperative death in 1 case (3.13%). Conclusion The importance of intestinal obstruction of colorectal cancer awareness, reasonable choice of surgical approach, perioperative management, is to reduce complications and improve the efficacy of important measures.