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目的:分析总结大肠癌所致肠梗阻的诊断、治疗经验。方法:选取2011~2014年经手术治疗的大肠癌并发急性肠梗阻的27例患者,16例右半结肠癌梗阻均行Ⅰ期切除吻合术,8例左半结肠癌梗阻中5例行Ⅰ期切除吻合术,吻合口瘘1例;3例行Hartmann手术,3例直肠癌均行乙状结肠双腔造瘘术。结论:大肠癌所致肠梗阻为肿瘤晚期表现,切除肿瘤解决肠梗阻,可提高大肠癌的治愈率,延长生存时间并提高生活质量,术中合理选择手术方案,重视围手术期的处理是治疗成功的关键。
Objective: To summarize the diagnosis and treatment experience of intestinal obstruction caused by colorectal cancer. METHODS: Twenty-seven patients with colorectal cancer complicated with acute intestinal obstruction who underwent surgery from 2011 to 2014 were enrolled in this study. Sixteen patients with right-sided colon cancer underwent primary anastomosis and one with eight patients with left- Excision of anastomosis, anastomotic fistula in 1 case; 3 cases of Hartmann operation, 3 cases of rectal cancer underwent sigmoid double-chamber ostomy. Conclusion: The intestinal obstruction caused by colorectal cancer is the advanced manifestation of tumor. Excision of the tumor to resolve intestinal obstruction can improve the cure rate of colorectal cancer, extend the survival time and improve the quality of life. the key to success.