对３２例结肠癌并发急性结肠梗阻的病人进行根治性手术，一期切除吻合２８例，切除吻合后辅以近端结肠造瘘４例，结果无一例吻合口瘘发生。因此认为：右半结肠癌引起的结肠梗阻，只要有手术切除的可能，即行一期切除吻合术；左半结肠癌引起的梗阻，若肠管病理反应程度较轻，亦行一期切除吻合术，若肠管病理反应程度较重，则可行切除吻合后辅以近端横结肠造瘘术。 Thirty-two patients with colonic cancer complicated with acute colonic obstruction underwent radical surgery. One-stage resection and anastomosis were performed in 28 cases. Four cases were accompanied by proximal colostomy after resection and anastomosis. No result of anastomotic leakage occurred. Therefore, it is considered that: as long as the possibility of surgical resection of colon obstruction caused by right colon cancer, a line of resection and anastomosis is performed; obstruction caused by left colon cancer, if the degree of intestinal pathology is mild, one-stage resection and anastomosis are also performed. If the degree of intestinal pathology is heavier, the resection and anastomosis may be supplemented with proximal transverse colostomy.