摘要
目的探讨老年人左半结肠癌急性肠梗阻行Ⅰ期切除吻合手术的临床疗效。方法对106例老年左半结肠癌急性梗阻患者行急诊Ⅰ期切除吻合术,术中充分肠道减压和结肠灌洗使肠道空虚、清洁、吻合口双层缝合。结果无死亡病例,肺部感染7例,切口感染6例,其中2例切口裂开,吻合口瘘2例。结论左半结肠癌急性梗阻,只要严格掌握手术指征,I期手术是安全有效的。
Objective To explore the clinical therapeutic effect of one-stage resection and anastomosis in the treatment of acute ileus caused by left hemicolon cancer in aged people. Methods Clinical data of 106 elderly patients with acute ileus caused by left hemicolon cancer undergoing one-stage resection and anastomosis was reviewed. All patients underwent intra-operative colonic irri- gatiola a1~d intestinal tract decompression. Results No cases end with death. 7 cases were with pulmonary infection, 6 cases with infection of incisional wound, in which 2 cases were with wound disruption, 2 cases with stoma fistula. Conclusion One-stage re- section and anastomosis is a safe and effective method for acute ileus caused by left hemicolon cancer in aged people.
关键词
结肠癌
急性梗阻
结肠Ⅰ期吻合
carcinoma of colon
acute obstruction
one-stage colonic anastomosis
