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目的 探讨大肠癌致肠梗阻的外科处理方法。方法 分析 1995 1999年间 5 2例大肠癌致肠梗阻的外科治疗资料。结果 5 2例病人 ,Ⅰ期行右半结肠切除 9例 ;Ⅰ期行横结肠癌切除 4例 ;Ⅰ期行左半结肠或直肠上段癌切除 ,近端结肠造口 ,关闭远端结肠或直肠备Ⅱ期吻合 37例。肿瘤无法切除行乙状结肠造口 2例 (直肠癌 )。术后并发症发生率 15 3 % (8/5 2 ) ,围手术期病死率 3 8% (2 /5 2 )。结论 重视对结肠癌致肠梗阻的认识。合理选择手术方式 ,做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 caused by colorectal cancer. Methods The surgical treatment data of 52 cases of intestinal obstruction caused by colorectal cancer during 1995 to 1999 were analyzed. Results In 52 patients, 9 cases of right colon resection were performed in stage I; 4 cases of transverse colon cancer were removed in stage I; in stage I, left colon or upper rectum cancer was removed; proximal colostomy was established; distal colon was closed or rectal preparation was performed. Phase II anastomosis in 37 cases. The tumor could not be resected in 2 cases of sigmoid colostomy (rectal cancer). The postoperative complication rate was 15 3% (8/5 2 ), and the perioperative mortality was 3 8% (2 /5 2 ). Conclusions The importance of colon obstruction caused by colon cancer should be emphasized. Reasonable choice of surgical methods and good perioperative management are important measures to reduce complications and improve efficacy.