左半结肠癌伴梗阻一期吻合临床治疗探讨

The Research for Clinical Treatment of Stage I Anastomosis in Obstruction of Left Hemieolonic Carcinoma

目的:探讨左半结肠癌并发急性肠梗阻行一期切除吻合术的临床疗效。方法:回顾性分析48例左半结肠癌并发急性肠梗阻患者行术中肠道减压、结肠灌洗及一期切除吻合术治疗的临床资料。结果:48例行一期切除吻合术患者,术后切口和腹腔感染各1例,经抗感染、换药等处理后治愈,无手术死亡病例。术后随访6～36个月,均未发生吻合口瘘、吻合口狭窄、吻合口出血或癌肿转移等并发症。结论:掌握好手术适应证,积极的术前准备,有效的术中操作,重视围术期的处理,左半结肠癌伴急性肠梗阻行一期切除吻合术是安全可行的。

Objective：To explore the clinical curative effect of stage I resection and primary anastomosis for acute obstruction of left hemieolonic carcinoma.Methods：The clinical data of 39 cases of acute obstruction of left hemieolonic carcinoma performed intraoperative intestinal decompression,coloclysis and stage I resection and primary anastomosis were retrospectively analyzed.Results：48 patients were performed stage Iresection and primary anastomosis,postoperative incision and celiac infection respectively lcase,cured after anti-infection,dressing change,no operative deaths.Patients were followed up 6-36 months,no complications of anastomotic fistula,anastomotic stricture,anastmotic bleeding or cancer metastasis.Conclusion：Good mastery of surgical indications,actively properative preparation,effective operation ,thd importance of perioperative treatment,stage I resection and primary anastomosis for acute obstruction of left hemieolonic carcinoma is safe.