论文部分内容阅读
目的探讨左半结肠癌完全性梗阻或左半结肠良性梗阻伴肠坏死在无肠道准备的条件下急诊一期切除吻合手术的临床效果。方法对左半结肠癌完全性梗阻或左半结肠良性梗阻伴肠坏死的患者行预切处肠管切除后,用药物清洗断端,清除结肠内粪便,用气囊填堵回盲瓣通道,灌洗结肠,抗菌药物结肠内15min保留,缝合,引流等相应方法进行手术治疗,观察临床效果。结果 48例患者,无一例出现吻合口瘘等严重并发症,疗效满意。结论左半结肠癌完全性梗阻或左半结肠良性梗阻伴肠坏死在无肠道准备的条件下急诊一期切除吻合术,具有良好的应用前景。
Objective To investigate the clinical effect of emergency primary resection and anastomosis under complete intestinal obstruction of the left half colon or benign obstruction of the left colon with intestinal necrosis without enteral preparation. Methods For patients with complete obstruction of left colon cancer or benign obstruction of the left colon with intestinal necrosis, the patients underwent pre-incision bowel resection, the drug was used to wash the stump, the colon was cleared of stool, and the balloon was used to block the ileocecal valve channel. Colon, antibacterial drug retention in the colon 15min, suture, drainage and other appropriate methods of surgical treatment, observe the clinical effect. Results 48 patients, no case of serious complications such as anastomotic leakage, with satisfactory results. Conclusions The complete rejection of the left colon cancer or benign obstruction of the left colon with necrosis of the intestine in the absence of intestinal preparation under the conditions of an emergency resection and anastomosis, has a good prospect.