吻合环在结肠癌并发肠梗阻行一期切除吻合中的应用

• 作 者: 徐波 戴丽华 朱光辉 赖越元 夏金堂
• 机 构: 广州市第一人民医院普外科,广州市第一人民医院普外科,广州市第一人民医院普外科,广州市第一人民医院普外科,广州市第一人民医院普外科 510180,510180,510180,510180,510180
• 出 处: 中国实用外科杂志
• 发表日期: 2004年05期
• 关键词: 结肠肿瘤 肠梗阻 吻合环

目的　总结吻合环在结肠癌并发肠梗阻行一期切除吻合中的应用经验。方法　回顾性分析 1998～2 0 0 2年间使用吻合环的 30例结肠癌并发肠梗阻行一期切除吻合病人的临床资料。结果　全组术中吻合过程均顺利 ,无手术死亡 ,术后吻合漏 1例 (3 3% ) ,切口感染 5例 (16 7% ) ,无吻合口狭窄。结论　吻合环在结肠癌并发肠梗阻手术的应用中具有简单、安全、省时等优点 ,是提高吻合成功率、减少并发症发生的有效方法之一。

Objective To summarize the application experience of anastomotic ring in the primary resection and anastomosis of colonic obstruction. Methods A retrospective analysis was performed on the clinical data of one-stage resection and anastomosis in 30 patients with colorectal cancer complicated with intestinal obstruction who underwent anastomosis ring from 1998 to 2000. RESULTS: The anastomosis of the whole group was successful without any operative death. One postoperative anastomotic leakage occurred (3 3%), incision infection occurred in 5 patients (16 7% ), and no anastomotic stenosis was found. Conclusion Anastomotic ring has advantages of simple, safe and time-saving in the application of colorectal cancer combined with intestinal obstruction. It is one of the effective methods to increase the success rate of anastomosis and reduce the occurrence of complications.