目的 :探讨结直肠癌合并急性结肠梗阻的手术治疗措施。方法 :回顾性分析本院近年来收治 3 4例结直肠癌合并急性结肠梗阻的围手术期处理及术式选择。结果 :本组 2 5例行一期癌肿切除肠吻合术 ,9例行肠造口术 ,术后出现吻合漏 1例 ,共死亡 2例 ,其余均恢复顺利。结论 :术中肠道冲洗是结直肠癌合并急性结肠梗阻行癌肿一期切除肠吻合术成功的重要措施 ,对于机体耐受能力差或梗阻严重者 ,肠造口是一救命手术。 Objective: To investigate the surgical treatment of colorectal cancer with acute colonic obstruction. Methods: A retrospective analysis of our hospital in recent years, 34 cases of colorectal cancer with acute colonic obstruction perioperative management and surgical options. Results: Twenty-five patients underwent primary anastomosis of intestinal anastomosis and 9 patients underwent enterostomy. One patient had anastomosis and 2 patients died after operation. The others recovered smoothly. Conclusion: Intraoperative intestinal flushing is an important measure for successful resection of intestinal anastomosis in colorectal cancer patients with acute colonic obstruction. Colostomy is a lifesaving surgery for patients with poor tolerance or serious obstruction.