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目的探讨结直肠癌并急性肠梗阻的外科诊治方法。方法回顾性分析我院自1995～2008年间收治的结直肠癌并急性梗阻85例临床资料。结果70例行一期切除吻合;肿瘤广泛转移,行永久性乙状结肠造瘘手术6例;暂时性造瘘9例,行二期肠吻合;术后出现并发症20例。结论结直肠癌并急性肠梗阻需合理选择术式,加强围手术期处理是治疗的关键。
Objective To investigate the surgical treatment of colorectal cancer with acute intestinal obstruction. Methods The clinical data of 85 cases of colorectal cancer with acute obstruction admitted in our hospital from 1995 to 2008 were analyzed retrospectively. Results A total of 70 patients underwent primary resection and anastomosis. Tumors were extensively metastasized in 6 patients undergoing sigmoid colonostomy. Temporary fistulas were performed in 9 patients underwent secondary intestine anastomosis. Postoperative complications occurred in 20 patients. Conclusion Colorectal cancer with acute intestinal obstruction should be a reasonable choice of surgical procedures, to strengthen perioperative management is the key to treatment.