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目的评价一种新型的镍钛记忆合金加压吻合夹(CAC)进行结肠吻合的安全性及有效性。方法2005年4月至2006年2月,南京军区南京总医院将30例结肠癌病人随机分为两组,各15例。研究组使用CAC进行结肠吻合,对照组使用常规吻合器进行结肠吻合。术后观察有无发生与吻合相关的并发症,肠道排气、排便时间,CAC的排出时间。结果两组术后均无吻合口瘘、吻合口狭窄或梗阻等并发症发生。术后肠道排气、排便时间无差异。研究组CAC于术后8~14d均排出体外。结论应用CAC进行结肠吻合安全可靠,使用简便。
Objective To evaluate the safety and efficacy of a new type of NiTi memory alloy compression anastomosis clamp (CAC) for colonic anastomosis. Methods From April 2005 to February 2006, 30 patients with colon cancer from Nanjing General Hospital of Nanjing Military Command were randomly divided into two groups, 15 cases each. The study group used CAC for colonic anastomosis while the control group used conventional stapler for colonic anastomosis. Postoperative observation of the occurrence and complications associated with anastomosis, intestinal exhaust, defecation time, CAC discharge time. Results There was no anastomotic fistula, anastomotic stenosis or obstruction in both groups after operation. Postoperative intestinal exhaust, defecation time no difference. Study group CAC 8 ~ 14d after surgery were excreted. Conclusion The application of CAC for colonic anastomosis is safe and easy to use.