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目的探讨结肠次全切除术治疗急性梗阻性左半结肠癌的临床效果。方法选取2014年1月—2015年6月昆明市第一人民医院收治的55例急性梗阻性左半结肠癌患者,根据手术治疗方式不同分为观察组30例和对照组25例。观察组患者给予结肠次全切除术治疗,对照组患者给予回盲部造瘘常规手术治疗。比较两组患者手术时间、住院时间、生活质量(QOL)评分及Karnofsky功能评分,观察两组患者并发症发生情况。结果观察组患者手术时间、住院时间长于对照组,Karnofsky评分、QOL评分高于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论结肠次全切除术治疗急性梗阻性左半结肠癌患者的治疗效果确切,可提高患者术后生活质量,降低并发症发生率。
Objective To investigate the clinical effect of subtotal colon resection in the treatment of acute obstructive left colon cancer. Methods From January 2014 to June 2015, 55 patients with acute obstructive left-sided colon cancer admitted to the First People’s Hospital of Kunming from January 2014 to June 2015 were divided into observation group (30 cases) and control group (25 cases) according to the different surgical treatment methods. Patients in the observation group were given subtotal colon resection, while those in the control group were given conventional surgical treatment of ileocecal fistula. The operation time, hospitalization time, quality of life (QOL) score and Karnofsky function score of the two groups were compared to observe the complication of the two groups. Results The operation time and hospital stay of the observation group were longer than those of the control group. Karnofsky score and QOL score were higher than those of the control group (P <0.05). The incidence of postoperative complications in the observation group was lower than that in the control group, with significant difference (P <0.05). Conclusion Subtotal colon resection for the treatment of acute obstructive left colon cancer patients with the exact effect of treatment can improve postoperative quality of life and reduce the incidence of complications.