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目的探讨手术防粘连液在结肠癌手术中预防、治疗肠粘连及粘连性肠梗阻的临床作用。方法选取2013-01-2015-12结肠癌手术患者100例。将患者随机分为两组,实验组及对照组,每组50例。试验组在术中将手术防粘连液喷洒于手术创面、肠管受损的浆膜面和切口周围腹壁。对照组则不使用该防粘连液。术后观察患者肠管通气、排便时间及术后2周的阵发性腹痛、腹胀、嗳气、排气不畅及肠梗阻等反映胃肠功能的相关指标。结果两组患者一般情况及手术方式分布差异没有统计学意义(P>0.05)。实验组患者在肠管通气、排便时间及术后2周的阵发性腹痛、腹胀、嗳气、排气不畅及肠梗阻等指标方面和对照组相比差异有统计学意义(P<0.05)。结论结肠癌手术中使用手术防粘连液,不仅预防、治疗腹部肠粘连及粘连性肠梗阻,减轻腹痛等手术并发症,而且促进患者术后胃肠道功能及呼吸功能恢复,有利于患者手术康复及提高患者术后生活质量,值得临床推广使用。
Objective To investigate the clinical effect of surgical anti-adhesion solution in the prevention and treatment of intestinal adhesion and adhesive intestinal obstruction in colon cancer surgery. Methods 100 cases of colon cancer patients were selected from January 2013 to December 2015. The patients were randomly divided into two groups, experimental group and control group, 50 cases in each group. During the operation, the experimental group sprayed the surgical anti-adhesion solution on the surgical wound, the damaged serosal surface of the intestine and the abdominal wall around the incision. The control group did not use the anti-adhesion solution. Postoperative intestinal bowel ventilation, defecation time and postoperative 2 weeks of paroxysmal abdominal pain, abdominal distension, belching, poor exhaust and intestinal obstruction and other indicators of gastrointestinal function reflect. Results There was no significant difference between the two groups in the general situation and the distribution of surgical methods (P> 0.05). There was significant difference between the experimental group and the control group in intestinal ventilation, defecation time and paroxysmal abdominal pain, abdominal distension, belching, poor exhaust and intestinal obstruction 2 weeks after operation (P <0.05). Conclusion The use of surgical anti-adhesion fluid in colon cancer surgery not only prevent and treat abdominal intestinal adhesion and adhesive intestinal obstruction, reduce abdominal pain and other surgical complications, but also promote postoperative gastrointestinal function and respiratory function recovery, is conducive to patients with surgical rehabilitation And improve postoperative quality of life of patients, it is worth to promote clinical use.