论文部分内容阅读
目的:探讨结肠肿瘤并发急性梗阻一期切除吻合术的临床效果。方法:对56例结肠癌伴急性梗阻患者进行传统的根治术式。术中行结肠灌洗、严格无菌操作、一期切除、单层间断内翻缝合吻合术。结果:本组56例患者中,有9例发生切口感染,2例发生吻合口瘘,一期切除吻合成功率为98.4%。结论:在结肠肿瘤合并急性梗阻的治疗中,预防吻合口瘘是极其重要的。若术前准备充分、严格掌握手术指征、术中做好肠腔减压与清洁,提高一期切除的吻合率是可能的。
Objective: To investigate the clinical effect of primary resection and anastomosis in patients with colon tumor complicated by acute obstruction. Methods: 56 cases of colon cancer with acute obstruction in patients with conventional radical operation. Intraoperative colon lavage, strict aseptic operation, a resection, monolayer interrupted endovascular suture anastomosis. Results: Among 56 patients in this group, 9 cases had incision infection, 2 cases had anastomotic fistula, and the rate of one-stage anastomosis was 98.4%. Conclusions: Prevention of anastomotic leakage is extremely important in the treatment of colon tumors with acute obstruction. If the preoperative preparation, strict surgical indications, intraoperative decompression and good bowel and improve the rate of primary resection is possible.