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目的探讨左侧结肠癌并急性肠梗阻Ⅰ期切除吻合术中肠道灌洗的方法和效果观察。方法对17例左侧结肠癌并急性肠梗阻患者,术中进行梗阻近端肠道灌洗后,用器械行横结肠和乙状结肠端侧吻合术。回顾性分析患者的临床资料。结果 17例患者顺利完成Ⅰ期切除吻合术。术后7~9 d拆去缝线,切口甲级愈合。无1例发生吻合口瘘。结论严格掌握手术适应证,术中进行有效肠道灌洗,规范进行手术操作,正确使用吻合器进行肠管吻合。左侧结肠癌并急性肠梗阻Ⅰ期切除吻合术,可缩短患者带癌生存时间、减轻再次住院手术的痛苦和费用,有利于提高治疗效果,是安全、可行的手术方案,值得在临床中推广应用。
Objective To investigate the method and effect of intestinal lavage in stage Ⅰ resection and anastomosis of left colon cancer with acute intestinal obstruction. Methods Twenty-seven patients with left colon cancer and acute intestinal obstruction underwent proximal intestinal obstruction during operation. The instruments were performed transverse collateral and sigmoid colon anastomosis. Retrospective analysis of the clinical data of patients. Results 17 patients successfully completed stage Ⅰ resection and anastomosis. Postoperative 7 ~ 9 d to remove the suture, incision grade healing. No case of anastomotic fistula occurred. Conclusions Strict indications of surgical indications, intraoperative effective intestinal lavage, regulate the operation of the operation, the correct use of stapler intestinal anastomosis. The left colon cancer with acute intestinal obstruction Ⅰ anastomosis can shorten the survival time of patients with cancer and relieve the pain and expense of re-hospitalization, which will help to improve the therapeutic effect. It is a safe and feasible surgical treatment and is worth popularizing in clinic application.