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目的探讨结直肠癌并肠梗阻外科诊治的临床实践,提高对该病的诊治效果。方法回顾性分析我院收治的56例结直肠癌并肠梗阻患者的外科治疗资料。全组Ⅰ期切除吻合36例(64.3%),分期手术12例,单纯结肠造口8例。结果术后并发症5例(8.9%),其中肺部感染1例,吻合口漏1例,切口感染3例,经积极治疗后康复出院,无手术死亡病例。结论结直肠癌并肠梗阻的治疗无固定模式,要根据患者情况、医院条件、医生的经验和能力综合考虑,选择最适合的治疗方法,争取Ⅰ期切除吻合。
Objective To investigate the clinical practice of surgical diagnosis and treatment of colorectal cancer with intestinal obstruction and to improve the diagnosis and treatment of the disease. Methods Retrospective analysis of surgical treatment of 56 patients with colorectal cancer and intestinal obstruction admitted to our hospital. The whole group Ⅰ resection and anastomosis in 36 cases (64.3%), staging surgery in 12 cases, simple colostomy in 8 cases. Results Postoperative complications occurred in 5 cases (8.9%). Among them, 1 was pulmonary infection, 1 was anastomotic leakage and 3 was incisional infection. After active treatment, the patients were recovered and discharged without any surgical death. Conclusion Colorectal cancer and intestinal obstruction treatment without a fixed pattern, according to the patient’s condition, the hospital conditions, the doctor’s experience and ability to consider, select the most appropriate treatment for Phase Ⅰ resection and anastomosis.