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目的总结结肠癌致肠梗阻的诊断与治疗。方法对15 a年来收治的32例结肠癌致肠梗阻患者进行回顾性分析。结果术前15例以急腹症收住确诊为结肠癌性梗阻,余17例误诊。行Ⅰ期肠切除吻合19例,Ⅱ期肠切除8例,5例仅行姑息性手术。结论结肠癌所致肠梗阻的早期诊断是提高疗效的关键,而合理的术式选择和术中肠道的处理,是提高手术成功率、降低并发症和病死率的重要因素。
Objective To summarize the diagnosis and treatment of intestinal obstruction caused by colon cancer. Methods A retrospective analysis was performed on 32 patients with intestinal obstruction who underwent colon cancer in 15 years. Results Fifteen cases were diagnosed as colon cancer obstruction with an acute abdomen before operation, and 17 cases were misdiagnosed. 19 cases underwent resection and anastomosis in stage Ⅰ, 8 cases underwent stage Ⅱ intestine resection, and only 5 cases underwent palliative surgery. Conclusion Early diagnosis of intestinal obstruction caused by colon cancer is the key to improve the curative effect. Reasonable operation choice and intraoperative intestinal tract treatment are important factors to improve the success rate of operation and reduce complications and mortality.