术中肠道清洁用于急性结肠梗阻的临床研究

Clinical Study of Cleaning Intestines in Patients With Colon Obstruction

目的 探讨结肠梗阻病人术中清洁肠道后施行Ⅰ期手术切除的可行性。方法 30例结肠癌病人根据有无梗阻分成两组 ;梗阻组 18例 ,术中肛门插管吸引灌洗清洁肠道 ;非梗阻组病人术前常规清洁灌肠。对比两组的肠内容物细菌数、肛门排气时间、住院天数与治疗费用情况。结果 梗阻组细菌数明显少于非梗阻组 (P <0 .0 5 ) ;其它指标两者无显著差异 (P >0 .0 5 )。结论 术中肠道清洁程度超过术前常规肠道准备 ,肠梗阻病人可以行Ⅰ期手术。

Objective To investigate the feasibility of one-stage resection of acute colonic obstruction caused by left colonic carcinoma especially by cleaning intestincs.Methods According to obstruction condition thirty patients with left colonic carcinoma were divided into observe group (group O ,n=18) and control group(group C,n=12).In group O all patients performed one-stage resection after colon were cleaned by flushing enema with a tube inserted into anus during operation. Bacterial quantity ,recovery of bowel function, hospitalization days and expenses were obversed and recorded in both groups . Results Bacterial quantity decreased markedly in group O compared with that in group C (p<0.05),other parameters changed unsignificantly between both groups (p>0.05). Conclusion Flushing enema during operation for patients with colonic obstruction can exceed the cleaned degree at normal preparative intestines, one-stage resection is feasible and safety.