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目的观察并分析左半脾区结肠癌致急性肠梗阻的手术治疗效果。方法选取2012年12月~2013年12月期间确诊收入江西省宜春市第二人民医院的200例左半脾区结肠癌致急性肠梗阻患,回顾性分析200例患者的各项临床资料及手术方式。结果 100例患者进行1期切除吻合术,10例患者发生吻合口瘘,3例患者发生术后切口感染,并发症率13.0%,治愈率100.0%;100例患者进行分期手术治疗,12例患者出现吻合口瘘,并发症率12.0%,治愈率100.0%;两种手术方式并发症率比较无显著性差异。结论根据左半脾区结肠癌致急性肠梗阻患者病情实施适宜的手术,尽量在短时间内实施1期切除吻合术,及时缓解梗阻症状,减轻患者痛苦,提高生存率。病情严重者,可实施分期手术。
Objective To observe and analyze the surgical treatment of acute intestinal obstruction caused by colon cancer in the left half of the spleen. METHODS: From December 2012 to December 2013, 200 cases of acute intestinal obstruction caused by colon cancer from the left half of the spleen area of Yichun City Second People’s Hospital of Jiangxi Province were selected. The clinical data and operations of 200 patients were retrospectively analyzed. the way. Results 100 patients underwent one-stage resection and anastomosis, 10 patients had anastomotic leakage, 3 patients had postoperative wound infection, the complication rate was 13.0%, the cure rate was 100%; 100 patients were treated by stage surgery, 12 patients Anastomotic leakage occurred, the complication rate was 12.0%, and the cure rate was 100%. There was no significant difference in the complication rates between the two surgical procedures. Conclusion According to the condition of patients with acute intestinal obstruction caused by colon cancer in the left half of the spleen, it is necessary to carry out appropriate surgery and try to implement a stage 1 resection and anastomosis in a short time to relieve symptoms of obstruction, relieve pain and improve survival rate. In severe cases, staging can be performed.