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目的探讨结肠癌并梗阻的外科治疗及术式选择原则。方法回顾性总结我院1995~2008年114例结肠癌并梗阻的临床治疗资料。结果本组病例施行右半结肠切除48例,左半结肠切除66例(30例行左半结肠Ⅰ期切除吻合术,18例Hartmann术,12例短路手术,6例单纯造口)。均恢复良好,治愈出院。结论根据结肠癌并梗阻临床特点,正确的选择手术时机和合理的手术方式能获得良好的预后,符合手术适应症患者一期吻合能取得更满意效果。
Objective To investigate the surgical treatment of colon cancer with obstruction and surgical selection principle. Methods The clinical data of 114 cases of colon cancer and obstruction in our hospital from 1995 to 2008 were retrospectively reviewed. Results The group of patients underwent right colon resection in 48 cases, left colon resection in 66 cases (30 cases of left colon resection and anastomosis Ⅰ, 18 cases of Hartmann operation, 12 cases of short-circuit surgery, 6 cases of simple ostomy). All recovered well and were discharged. Conclusion According to the clinical features of colon cancer and obstruction, the correct choice of operation timing and reasonable operation method can obtain a good prognosis, which meets the first-stage anastomosis of surgical indications to obtain more satisfactory results.