CAJ | 학술논문

目的探讨梗阻性大肠癌的诊治原则。方法回顾性分析我院68例梗阻性大肠癌病例的诊治经过及预后情况。结果68例病例均经手术治疗，I期切除吻合术64例(94.1％)，近端结肠造口术4例（5.9%）行肠造瘘II期吻合术。术后切口感染4例、发生吻合口瘘2例，无手术死亡病例发生。结论综合患者的全身情况、肿瘤局部侵犯情况及梗阻程度选择合理的术式，良好的围手术期处理是保证结直肠肿瘤I期切除吻合成功，防止吻合口瘘并发症等的关键。
목적탐토경조성대장암적진치원칙。방법회고성분석아원68례경조성대장암병례적진치경과급예후정황。결과68례병례균경수술치료，I기절제문합술64례(94.1％)，근단결장조구술4례（5.9%）행장조루II기문합술。술후절구감염4례、발생문합구루2례，무수술사망병례발생。결론종합환자적전신정황、종류국부침범정황급경조정도선택합리적술식，량호적위수술기처리시보증결직장종류I기절제문합성공，방지문합구루병발증등적관건。
objective to investigate the diagnosis and treatment of obstructive colon cancer principle. Methods retrospective analysis of 68 cases of obstructive colon cancer diagnosis and treatment of cases after and prognosis. Results all 68 cases by surgery, stage I resection anastomosis 64 cases (94.1%), near end colostomy 4 patients (5.9%) did make intestinal fistula phase II anastomosis. Postoperative incision infection, 4 cases happened anastomotic fistula in 2 cases, no operative deaths occur. Conclusion comprehensive patient general condition, tumor local invasion and degree of obstruction of the rational choice of operation, good perioperative management is the guarantee of the colorectal cancer stage I anastomosis success, prevent anastomotic fistula complications of key.