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目的探讨外科治疗大肠癌并发急性肠梗阻的临床治疗效果。方法选取2008-03-2011-04于包头医学院第一附属医院进行治疗的42例大肠癌并发急性肠梗阻患者为研究对象,一期行右半结肠切除术11例,一期行横结肠癌切除术8例,一期行直肠上段或左半结肠癌切除术,近端结肠造口,远端结肠关闭或直肠二期吻合15例,乙状结肠造口8例。结果术后并发症的发生率为16.13%,围手术期的病死率为3.23%,随访患者1a的生存率为91.94%,3a的生存率为56.45%,5a的生存率为37.10%。结论大肠癌并发急性肠梗阻的外科手术,选取手术方案一定要遵循个体化的原则,这样使临床疗效得到更好地提高,患者能够极大的缓解和减少痛苦。
Objective To investigate the clinical effect of surgical treatment of colorectal cancer complicated with acute intestinal obstruction. METHODS: Forty-two patients with colorectal cancer complicated with acute intestinal obstruction who underwent treatment at the First Affiliated Hospital of Baotou Medical College from March 2008 to December 2011 were enrolled in this study. In the first stage, 11 patients underwent right-sided colectomy and one underwent resection of transverse colon cancer In 8 cases, one was performed the upper rectum or left colon resection, the proximal colostomy, distal colon closure or rectal second anastomosis in 15 cases, and sigmoid colonostomy in 8 cases. Results The incidence of postoperative complications was 16.13%. The perioperative mortality rate was 3.23%. The survival rate of 1a was 91.94%, the survival rate of 3a was 56.45%, and the survival rate of 5a was 37.10%. Conclusion Surgery complicated with acute intestinal obstruction in colorectal cancer should follow the principle of individuation. So that the clinical effect can be better and the patients can greatly relieve and reduce the pain.