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目的探讨和总结急性闭袢性结肠梗阻的治疗经验、合理的外科治疗。方法回顾性分析2002年1月至2007年8月间我院收治的25例急性闭袢性结肠梗阻的临床资料及治疗情况。结果本组死亡3例;术后并发结肠瘘5例(其中2例经再次手术后治愈,1例经保守治愈,2例死亡)。一期肠切除吻合15例。其余均痊愈出院。结论采用术中近、远端结肠逆、顺行螺纹管灌洗术,或配合肠内减压,对减轻术后全身中毒症状、术后肠功能的恢复、预防吻合口瘘、缩短住院日有显著性意义。对于状况良好病人,可采用肠灌洗后一期肠吻合,或配合肠内减压;对全身情况差、病程长及癌肿已有明确的腹腔转移者应行肠灌洗、造瘘,二期手术。
Objective To investigate and summarize the experience of treatment of acute closed colonic obstruction and reasonable surgical treatment. Methods The clinical data and treatment of 25 patients with acute obstructive colonic obstruction admitted to our hospital from January 2002 to August 2007 were analyzed retrospectively. Results The group died of 3 cases; 5 cases of postoperative colonic fistula (2 cases were cured after reoperation, 1 case of conservative cure, 2 died). A case of intestinal resection and anastomosis in 15 cases. The rest were cured and discharged. Conclusions Intraoperative proximal and distal colonic reversal, antegrade thread lavage, or combined with intestinal decompression can relieve postoperative systemic symptoms and postoperative recovery of intestinal function, prevent anastomotic fistula and shorten the length of stay Significant significance. For patients in good condition, intestinal anastomosis can be used after intestinal lavage, or with decompression; for the poor overall condition, long duration and cancer have been clear peritoneal metastasis should be intestinal irrigation, fistula, two Surgery.