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目的探讨结直肠癌致肠梗阻的诊断和治疗。方法回顾性分析2003年1月-2008年12月间72例结直肠癌致肠梗阻的外科诊治资料。结果 72例患者中肿瘤位于右半结肠23例,左半结肠29例,直肠16例,回盲部4例。其中63例手术治疗,一期切除吻合46例,Hartmann术7例,单纯造口10例。有9例因肿瘤全身广泛转移等因素自动放弃手术治疗。结论重视对结直肠癌致肠梗阻的认识、合理选择手术方式、做好围手术期处理是减少并发症、提高疗效的重要措施。
Objective To investigate the diagnosis and treatment of intestinal obstruction caused by colorectal cancer. Methods The clinical data of 72 cases of intestinal obstruction caused by colorectal cancer between January 2003 and December 2008 were analyzed retrospectively. Results Among the 72 patients, 23 were located in the right colon, 29 in the left colon, 16 in the rectum and 4 in the ileocecal region. Among them, 63 cases were treated surgically, 46 cases were resected and anastomosed in one stage, 7 cases were Hartmann’s operation, and 10 cases were simple stoma. Nine patients were surrendered surgically due to extensive tumor metastasis and other factors. Conclusion The importance of intestinal obstruction of colorectal cancer awareness, a reasonable choice of surgical approach, do perioperative management is to reduce complications and improve the efficacy of important measures.