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目的探讨Ⅰ期肠切除吻合术在治疗结肠癌并发急性肠梗阻中的临床效果。方法对我院2010年4月—2013年1月对收治的63例结肠癌并肠梗阻患者,行Ⅰ期肠切除吻合术治疗。结果本组63例患者均实行I期切除吻合术,其中根治性切除51例,姑息性切除12例,手术时间平均(2.6±0.5)h,术中出血量平均(365.7±23.1)mL,术后肛门排气平均(2.4±0.3)d。术后随访3~12个月,除2例死亡外,其余患者均恢复良好,无出现严重并发症或不良反应发生,有效率达96.8%。结论Ⅰ期肠切除吻合术,作为治疗结肠癌并发急性肠梗阻的有效手术方法,值得在临床推广。
Objective To investigate the clinical effect of stage Ⅰ intestine resection and anastomosis in the treatment of colon cancer with acute intestinal obstruction. Methods From April 2010 to January 2013 in our hospital, 63 patients with colon cancer and intestinal obstruction were treated with Ⅰ intestine resection and anastomosis. Results All the 63 patients underwent phase I resection and anastomosis. Among them, radical resection was performed in 51 cases and palliative resection in 12 cases. The average operation time was 2.6 ± 0.5 h. The mean amount of blood loss during operation was (365.7 ± 23.1) mL. After the anus exhaust average (2.4 ± 0.3) d. The patients were followed up for 3 to 12 months. Except for 2 deaths, the rest of the patients recovered well without any serious complications or adverse reactions, with an effective rate of 96.8%. Conclusions Stage Ⅰ intestine resection and anastomosis, as an effective surgical treatment of colon cancer complicated with acute intestinal obstruction, is worthy of clinical promotion.