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目的探讨结肠癌并发急性结肠梗阻病例的外科处理原则和方法。方法回顾性分析我院自1990年—2002年收治的142例结肠癌并发急性结肠梗阻病例,结合近年国内文献,综合评价其外科处理原则和方法。结果142例患者均经手术治疗,出现并发症21例;死亡7例,病死率为4.9 %,其余均痊愈出院。结论结肠癌并急性结肠梗阻的处理要根据患者的全身情况和肿瘤的局部情况来进行综合判定。适应证掌握恰当,急性结肠梗阻Ⅰ期肿瘤切除和吻合术是安全的。
Objective To investigate the surgical treatment principles and methods of colon cancer complicated with acute colonic obstruction. Methods A retrospective analysis of our hospital from 1990 to 2002 admitted to 142 cases of colon cancer complicated with acute colonic obstruction cases, combined with the domestic literature in recent years, a comprehensive evaluation of the principles and methods of surgical treatment. Results 142 patients were surgically treated, 21 cases of complications occurred; 7 died, the case fatality rate was 4.9%, the rest were cured. Conclusion The treatment of colon cancer with acute colonic obstruction should be based on the overall condition of the patient and the local conditions of the tumor to make a comprehensive decision. Indications to grasp the right, acute colon obstruction Ⅰ tumor resection and anastomosis is safe.