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目的探讨大肠癌引起急性肠梗阻的手术方式。方法回顾性分析我科1998~2008年收治的大肠癌并急性肠梗阻67例临床资料。结果一期切除吻合51例,横结肠造瘘6例,Hartmann手术3例,暂时性乙状结肠造瘘4例,永久性乙状结肠造瘘3例。Ⅰ期切除吻合术后患者出现吻合口漏3例。围手术期死亡4例。结论大肠癌引起急性肠梗阻的外科治疗应根据患者全身和肿瘤的具体情况选择不同的手术方式。
Objective To investigate the surgical treatment of acute intestinal obstruction caused by colorectal cancer. Methods The clinical data of 67 cases of colorectal cancer with acute intestinal obstruction admitted from 1998 to 2008 in our department were retrospectively analyzed. Results One-stage resection and anastomosis in 51 cases, transverse colostomy in 6 cases, Hartmann operation in 3 cases, temporary sigmoid colostomy in 4 cases, permanent sigmoid colostomy in 3 cases. Three patients had anastomotic leakage after resection and anastomosis in stage Ⅰ. Perioperative death in 4 cases. Conclusion Surgical treatment of acute intestinal obstruction caused by colorectal cancer should be based on the specific circumstances of patients with systemic and tumor selection of different surgical methods.