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目的分析结肠癌并梗阻的外科治疗及术式选择原则。方法回顾性总结本院2007～2009年38例结肠癌并梗阻的临床治疗资料。其中,左半结肠切除12例,右半结肠切除16例,Hartmann术6例,短路手术2例,单纯造瘘2例。结果本组病例均恢复良好,治愈出院。结论提高对结肠癌并梗阻临床特点的认识,正确地选择手术时机和合理的手术方式能获得良好的预后,对于条件良好者一期吻合能取得更满意效果。
Objective To analyze the surgical treatment of colon cancer with obstruction and the principle of operation selection. Methods The clinical data of 38 patients with colon cancer and obstruction from 2007 to 2009 in our hospital were retrospectively reviewed. Among them, the left half of the colon resection in 12 cases, right colon resection in 16 cases, Hartmann surgery in 6 cases, 2 cases of short-circuit surgery, simple fistula in 2 cases. Results The patients recovered well and were discharged. Conclusion To improve the clinical features of colon cancer and obstruction awareness, the correct choice of timing and reasonable surgery can get a good prognosis, good conditions for the first phase of anastomosis can achieve more satisfactory results.