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目的探讨大肠癌合并闭袢性肠梗阻的治疗方法。方法回顾性分析该院结直肠肛门外科诊治的72例大肠癌合并闭袢性肠梗阻患者的临床资料。结果术后并发症13 例（18.06%），其中切口感染7例（9.72%）， 切口裂开3例次（4.17%）， 肺部感染5例次（6.94%）。平均住院时间 48 d 。随访65例，术后1、3、5 年生存率分别为52.31%（34/65）、32.31%（21/65）和16.92%（11/65）。结论提高对结肠癌合并闭袢性肠梗阻的认识，做好术前风险评估，加强围手术期处理，选择合理的术式，可提高手术成功率、降低手术并发症的发生。
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更新时间：2015-03-31
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大肠癌合并闭袢性肠梗阻临床研究（附72例病例报告）▲
A clinical study on colorectal cancer combined with closed loop obstruction:a report of 72 cases
微创医学 201402期 页码：144-146
作者机构：(广西医科大学第一附属医院结直肠肛门外科,南宁市530021)
基金信息：（广西医科大学第一附属医院结直肠肛门外科，南宁市530021）▲基金项目：广西教育厅科研项目（合同号：200810ms056）作者简介：龙军先（1986～），男，研究生，研究方向：结直肠肛门外科。*通讯作者
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ObjectiveTo explorer the treatment of colorectal cancer combined with closed loop obstruction. MethodsClinical data of 72 patients diagnosed and treated by the First Affiliated Hospital of Guangxi Medical University with colorectal cancer who combined with closed loop obstruction were analyzed retrospectively. ResultsA total of 13 (18.06%) patients developed p ostoperative complications, including 7 (9.72%) cases of incision infection, 3 (4.17%) cases of dehiscence of abdominal incision, and 5 (6.94%) cases of lung infection. The mean hospital stay was 48 days. Sixtyfive (90.27%) patients completed the followup. The survival rates at 1, 3, and 5 years were 52.31%(34/65)、32.31%(21/65), and 16.92%(11/65), respectively. ConclusionsRaising awareness of colorectal cancer that combined with closed loop obstruction, making fully preoperative evaluation,strengthening perioperative management, and selecting reasonable operative procedures can improve the success rate of surgery and reduce the occurrence of surgical complications.
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