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目的研究一种彻底快速而毫不污染手术野的术中肠减压方法,以便提高手术的安全性。方法游离系膜后,钳夹下将拟切除肠段的下端先切断,将其近侧断端置入并固定于粘附在手术床边的塑料袋中;松开肠钳,肠内容物自由流入袋内;双手交替推挤膨胀的肠段,由近而远,由小肠向大肠,直至大、小肠的内容物彻底排空。钳夹下切断上端,移除切下的肠段和充满粪便的塑料袋。结果使用本法行肠减压术,一期切除急性梗阻的左结肠癌31例,均未发生吻合口漏,创口一期愈合。另有6例肝段切除同时切除未作肠道准备的结肠癌亦取得同样结果。同法亦用于各种急性小肠梗阻,均未造成腹腔污染。结论本法可推荐为术中肠减压的首选方法。
Objective To study a method of intraoperative intestinal decompression completely and quickly without polluting the surgical field in order to improve the safety of surgery. Method After the free mesangial, the lower end of the intestine segment to be resected under the forceps was cut off first, the proximal end of the intestine segment was inserted and fixed in a plastic bag attached to the edge of the operation bed; the intestine was released, the intestinal contents were free Inflow into the bag; hands alternately push the expansion of the bowel, from near and far, from the small intestine to the large intestine, until the contents of the large intestine and emptying. Cut off the upper end of the jaws, remove the cut bowel and plastic bags filled with manure. Results The method of intestinal decompression, a resection of acute obstruction of the left colon cancer in 31 cases, no anastomotic leakage, a wound healing. Another 6 cases of segmentectomy resection of intestinal preparation for colon cancer also achieved the same result. The same law is also used for a variety of acute intestinal obstruction, have not caused abdominal pollution. Conclusion This method can be recommended as the preferred method of intraoperative intestinal decompression.