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目的探讨高血糖大肠癌的外科治疗措施。方法１９９５～１９９７年外科治疗的７５例大肠癌伴高血糖（术前空腹血糖大于６３０ｍｍｏｌ／Ｌ）病人作回顾性分析。结果７５例病人均行择期手术，术后并发症发生率：吻合口瘘占１２１％（７／５８），骶前间隙积脓１０８％，切口感染２２７％，肺部感染、腹腔脓肿、泌尿系感染均为２７％，无酮症酸中毒。术后平均住院２０天，无手术死亡病例。结论高血糖大肠癌只要围手术期严格控制血糖，选择合理术式完全可以达到理想的外科治疗效果
Objective To investigate the surgical treatment of hyperglycemia and colorectal cancer. Methods Seventy-five patients with colorectal cancer with high blood glucose (preoperative fasting glucose >630 mmol/L) undergoing surgical treatment from 1995 to 1997 were retrospectively analyzed. Results Seventy-five patients underwent elective surgery. The incidence of postoperative complications was 12.1% (7/58) for anastomotic leakage, 10.8% for purulent prepupae, 22.7% for incision infection, and pulmonary infection. Abdominal abscesses, urinary tract infections were 2.7%, no ketoacidosis. After an average of 20 days of hospitalization, there were no operative deaths. Conclusion Hyperglycemic colorectal cancer can achieve ideal surgical treatment as long as it strictly controls blood glucose during perioperative period.