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目的探讨急性梗阻性大肠癌的手术治疗原则及预后。方法分析168例急性梗阻性大肠癌的手术治疗临床资料,其中右半结肠癌18例,左半结肠癌60例,直肠癌90例。168例中DukesB期24例,C期80例,D期64例。168例均手术治疗,其中行结肠造口18例,miles手术64例,Hartmann手术18例,一期切除吻合加肠外置术12例,结肠灌洗一期切除吻合56例。结果治愈164例,死亡4例。未能切除癌肿的2例患者术后5月死亡。结论手术治疗是解除急性梗阻性大肠癌的唯一方法。应根据患者的不同情况选择合理的手术方式。
Objective To investigate the surgical treatment principles and prognosis of acute obstructive colorectal cancer. Methods The clinical data of 168 patients with acute obstructive colorectal cancer were analyzed. Among them, 18 cases were right colon cancer, 60 left colon cancer and 90 rectal cancer. 168 cases DukesB 24 cases, C 80 cases, D 64 cases. 168 cases were treated by surgery, including colostomy in 18 cases, 64 cases of Miles operation, 18 cases of Hartmann’s surgery, a resection and anastomosis plus intestinal surgery in 12 cases, colon resection and anastomosis in 56 cases. 164 cases were cured and 4 died. Two patients who failed to remove the cancer died after 5 months. Conclusion Surgical treatment is the only way to relieve acute obstructive colorectal cancer. Should be based on the patient’s condition to choose a reasonable surgical approach.