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目的归纳灌洗一期吻合术治疗左半结肠癌伴肠梗阻的方法与效果。方法选择2012年12月至2015年5月进行治疗的左半结肠癌伴肠梗阻患者100例,分为观察组和对照组,每组50例。观察组行灌洗一期吻合术,对照组行结肠次全切除术,对比分析两组患者的临床治疗效果。结果对照组术中出血量高于观察组,观察组手术时间长于对照组,对照组术后顽固性腹泻发生率较高,差异均有统计学意义(P<0.05);两组住院时间、切口感染、吻合口瘘比较,差异未见统计学意义(P>0.05)。结论考虑到术后出血量及顽固性腹泻发生率,笔者认为灌洗一期吻合术更适合用于治疗左半结肠癌伴肠梗阻,不过还应综合考虑患者的选择以及其是否满足实行吻合术的要求。
Objective To summarize the method and effect of anastomosis of lavage for the treatment of left colon cancer with intestinal obstruction. Methods 100 patients with left colon cancer with intestinal obstruction who were treated from December 2012 to May 2015 were divided into observation group and control group with 50 cases in each group. The observation group received an anastomosis lavage and the control group received subtotal colon resection. The clinical effects of the two groups were compared. Results The intraoperative blood loss in the control group was higher than that in the observation group. The operation time in the observation group was longer than that in the control group. The incidence of intractable diarrhea in the control group was significantly higher (P <0.05) Infection, anastomotic fistula, the difference was not statistically significant (P> 0.05). Conclusion Taking into account the amount of postoperative bleeding and intractable incidence of diarrhea, I believe that a lavage anastomosis is more suitable for the treatment of left colon cancer with intestinal obstruction, but should also consider the patient’s choice and whether it meets the implementation of anastomosis Request.