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目的 探讨结肠癌急性梗阻的诊断和手术方式选择。方法 回顾性总结我院 1994年～ 2 0 0 2年 4月收治的 32例结肠癌导致急性肠梗阻患者的临床资料。结果 其中右半结肠癌 14例 ,横结肠癌 6例 ,左半结肠癌 12例。行1期结肠切除吻合 2 0例 ,1期切除吻合 ,近端结肠襻式造瘘 6例 ,2期肿瘤切除 4例 ,单纯肠造口术或捷径者 2例。术后发生吻合口瘘 1例 ,本组中无一例近期死亡。结论 手术方法的选择应根据梗阻近端肠段的病理变化轻重和全身情况来决定。尤其降结肠癌、乙状结肠癌导致急性肠梗阻手术方法的选择更为重要
Objective To investigate the diagnosis of acute obstruction of colon cancer and surgical options. Methods The clinical data of 32 patients with acute intestinal obstruction caused by colon cancer in our hospital from 1994 to April 2002 were retrospectively reviewed. Results of which the right colon cancer in 14 cases, 6 cases of transverse colon cancer, left colon cancer in 12 cases. Line 1 colon resection and anastomosis 20 cases, 1 resection and anastomosis, proximal colon fistula ostomy in 6 cases, 2 cases of tumor resection in 4 cases, simple bowel or short cut in 2 cases. Anastomotic fistula occurred in 1 case, no one in this group recently died. Conclusion The choice of surgical approach should be based on obstruction of proximal bowel pathological changes in weight and systemic conditions to decide. In particular, ascending colon cancer, sigmoid colon cancer led to the choice of surgical treatment of intestinal obstruction is more important