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目的观察并总结结直肠癌伴发急性肠梗阻外科治疗体会。方法对常德市第四人民医院2009-12-2011-07收治的结直肠癌同时合并急性肠梗阻的32例患者外科治疗资料进行回顾分析。结果 32例患者中行Ⅰ期结肠切除吻合术者27例,行永久性结肠造瘘术3例,行二期手术Hartmanns术2例。32例患者中31例均好转或痊愈出院,术后并发症发生率15.6%(5/32)。结论Ⅰ期切除手术是结直肠癌伴发急性肠梗阻较为理想的治疗方法,顺行减压灌洗、重视患者基础性疾病处理及术后扩肛等护理对预防术后并发症具有重要意义。
Objective To observe and summarize the experience of surgical treatment of colorectal cancer with acute intestinal obstruction. Methods Thirty-two cases of colorectal cancer with acute intestinal obstruction admitted to the Fourth People’s Hospital of Changde, 2009-12-2011-07 were retrospectively analyzed. Results Totally 27 patients underwent primary colostomy and anastomosis in 32 cases. Three patients underwent permanent colostomy and two patients underwent Hartmanns procedure. All 32 patients recovered or recovered, and the incidence of postoperative complications was 15.6% (5/32). Conclusions Stage Ⅰ resection is an ideal treatment for colorectal cancer with acute intestinal obstruction. It is of great importance to prevent postoperative complications by treating with decompression lavage, paying attention to the treatment of patients’ basic diseases and anal augmentation after operation.