目的 探讨结直肠癌所致急性肠梗阻的外科治疗方法.方法 回顾分析2004年1月至2011年5月我院经手术治疗的结直肠癌并发急性肠梗阻45例患者的临床资料.结果 手术治疗45例,其中行一期切除28例,Hartmann术9例,横结肠造瘘术1例,盲肠造瘘术2例,Miles术3例,乙状结肠双袢造瘘术2例.痊愈好转出院43例,死亡2例,术后并发症8例.结论 重视对结直肠癌致急性肠梗阻的认识,根据术中探查的情况及患者的自身情况,选择合理的手术时机和适当的手术方式,加强围手术期处理是保证治疗成功,减少并发症的关键.%Objective Explore acute intestinal obstruction caused hy colorectal cancer diagnosis, treatment. Methods Review 2004. 1-2011. 05 years hy our surgical treatment of colorectal concurrent acute intestinal obstruction of the clinical data of 45 patients. Results 6 cases of colon obstruction right were performed stage I resection anastomosis; 8 cases of colon obstruction left six routine stage I resection anastomosis , a routine transverse colon colostomy, a diseased appendix routine colostomy; 8 cases of the sigmoid colon cancer 6 underwent radical stage I resection anastomosis, a diseased appendix routine colostomy, anastomotic fistula case, a death; 23 cases of colorectal cancer nine routine Dixon technique, the 8 routine Hartmann technique, the three Miles routine technique, the two cases both loops the sigmoid colon colostomy art, deaths. Conclusion Active perioperative and reasonable operation method were the assurances to treat acute intestinal obstruction caused by colorectal cancer.
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