摘要
Abstract
Objective:To explore the clinical experience of operation treatment of colon cancer combined with acute intestinal obstruction,to further enhance the clinical curative effect.Methods:80 patients with colon cancer combined with acute intestinal obstruction were selected from January 2012 to January 2014.13 cases(16.25% ) were given tumor resection,sigmoid colon anastomosis joint proximal colon anastomotic fistula.8 cases(10.0%) were given simple colon fistula.11 cases(13.75%) were given pure colostomy and Ⅱ the colon tumor resection.28 cases(35.0% ) were given intraoperative colonic lavage + radical tumor resection and sigmoid colon/rectum end anastomosis.20 cases(20.0% ) were given tumor resection and proximal colostomy,the colon Ⅱ of digestive revascularization.Results:All patients were cured and discharged,including 2 cases of anastomotic fistula were intraoperative colonic lavage+radical tumor resection and sigmoid colon/rectum end anastomosis.1 patient of tumor resection and proximal colostomy,the colon Ⅱ of digestive revascularization had incision infection.In the intraoperative colonic lavage+radical tumor resection and sigmoid colon/rectum end anastomosis,tumor resection,sigmoid colon anastomosis joint proximal colon anastomotic fistula,tumor resection and proximal colostomy,pure colostomy and Ⅱ the colon tumor resection,the colon Ⅱ of digestive revascularization,the symptom remission times,anal exhaust times, hospitalization times were significantly higher than that of simple colon fistula.Conclusion:The operation treatment of colon cancer combined with acute intestinal obstruction is the preferred treatment method.It should be based on the patient's own situation to select the specific operation.关键词
结肠癌/急性肠梗阻/单纯结肠造瘘术/肿瘤切除术Key words
Colon cancer/Colon cancer combined with acute intestinal obstruction/Simple colon fistula/Tumor resection