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目的:探讨结肠癌并发肠梗阻行一期切除吻合术的临床疗效。方法:回顾性分析我院2009年3月-2012年3月收治的33例结肠癌并肠梗阻实施一期切除吻合术患者的临床资料,术后常规行病理检查。结果:33例均顺利完成手术,无一例死亡,发生吻合口瘘1例(17.86%),经双腔负压冲洗引流、肠内外营养支持等治疗后治愈,术后发生并发症3例(9.09%),其中切口感染2例,切口裂开1例,均经积极处理后痊愈。结论:对于结肠癌并肠梗阻的患者,只要选择合适的病例,积极地围术期处理,术中注意肠道灌洗及末段减压,行一期切除吻合术是安全可行的。
Objective: To investigate the clinical efficacy of one-stage resection and anastomosis of colon cancer with intestinal obstruction. Methods: A retrospective analysis of our hospital from March 2009 to March 2012 admitted to 33 cases of colon cancer and intestinal obstruction to implement a resection and anastomosis in patients with clinical data, postoperative routine pathological examination. Results: All the 33 cases were successfully completed the operation without any death. One case (17.86%) died of anastomotic fistula, which was cured by double-lumen negative pressure irrigation and drainage, enteral and external nutritional support, and postoperative complications occurred in 3 cases (9.09 %), Incision infection in 2 cases, incision split in 1 case, were cured after active treatment. Conclusion: For patients with colon cancer and intestinal obstruction, one-stage resection and anastomosis is feasible and safe as long as the appropriate cases are selected, the perioperative management is actively performed, the lavage during the operation and the decompression of the final stage are noted.