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目的总结大肠癌术前肠道准备的经验。方法 2007年1月-2009年1月收治大肠癌手术患者80例,均无术前合并症,分为术前肠道准备改进组及对照组,各40例。对照组按传统使用甘露醇,改进组使用磷酸钠盐口服液。对术前肠道准备改进前后的临床效果进行回顾性分析。结果两种方法均能达到满意的肠道清洁效果。对照组术后出现腹泻4例,腹胀3例,术后感染并发症10例,肠道球杆比倒置5例。改进组出现腹泻1例,术后感染3例,无肠道球杆比倒置。结论大肠癌术前肠道准备改进后肠道清洁效果优于传统术前肠道准备,是一种安全、可靠的肠道准备方法 。
Objective To summarize the experience of preoperative bowel preparation for colorectal cancer. Methods From January 2007 to January 2009, 80 patients undergoing colorectal surgery were enrolled. There were no preoperative complications, which were divided into three groups: preoperative enteral preparation improved group and control group, 40 cases each. In the control group, mannitol was conventionally used, and the improved group used sodium phosphate salt oral solution. Preoperative and postoperative bowel preparation to improve the clinical effect of retrospective analysis. Results Both methods achieved satisfactory bowel cleansing. There were 4 cases of diarrhea in the control group, 3 cases of abdominal distension, 10 cases of postoperative infection complications, and 5 cases of bowel clubs upside down. One patient developed diarrhea in the improved group and 3 patients had postoperative infection. The bowel-free club was inverted. Conclusion The preoperative bowel preparation of colorectal cancer is better than traditional preoperative bowel preparation in improving the intestinal tract clearance. It is a safe and reliable method of bowel preparation.