肠道灌洗法在结肠癌并肠梗阻手术中的应用

Application of intestinal tract lavation in acute intestinal obstruction caused by colon carcinoma

目的探讨结肠癌并发急性肠梗阻的外科处理方法。方法回顾分析我院1998年1月-2005年12月收治的结肠癌并发急性肠梗阻38例的临床资料。本组病例均行术中肠道灌洗。结果本组发生术后切口感染3例。无一例出现吻合口瘘。结论在对肿瘤近端结肠进行充分灌洗的情况下，结肠癌并急性肠梗阻行一期切除吻合是可行的。正确的术中操作和围手术处理有助于提高疗效和降低死亡率。

Objective To explore the operative ways on colon carcinoma with complicated acute intestinal obstruction. Methods Thirty-eight cases of acute intestinal obstruction caused by colon carcinoma from 1998 to 2005 in Xishui People＇s Hospital were reviewed. Results None of 38 cases were complicated with anastomotic leakage. There was no operative mortality and only 3 cases were complicated with infection of incisional wound. Coati.ion Due to sufficient lavation for the proximate colon of tumor, one-stage resection and anastomosis is a feasible operation for obstructive hemicolonic carcinoma. Appropriate choice of the operative procedures and prudential perioperative treatment can enhance the curative effect and decrease the mortality.