改进术前术后方法治疗结直肠癌31例探讨

Improved Treatment of Preoperative and Postoperative Method in 31 Cases of Colorectal Cancer

目的探讨改进术前术后治疗方法的安全性、优越性。方法将我院2007年3月至2010年2月结直肠癌患者65例分为两组,改进组31例,传统组34例,比较两组吻合口漏,水、电解质失衡情况与术后静脉补液时间。结果改进组无吻合口漏及水、电解质失衡,术后补液时间(5.75±1.06)d;传统组出现1例吻合口漏、1例低钾血症、1例低钾低钠血症,术后补液时间(9.56±1.04)d。结论结直肠癌术前不作常规肠道准备,不置胃肠减压管,能缩短肠道准备时间,减少术前对患者生理功能的干扰,缩短术后补液时间;术后早期进食安全,有利于患者尽快恢复。

Objective To investigate the security and superiority of improved preoperative and postoperative method.Methods 65 cases of colorectal cancer in our hospital from March,2007 to February,2010 were divided into two groups,improved group 31 cases and traditional group 34 cases.The probability of anastomotic leakage,water-electrolyte imbalance and postoperative intravenous rehydration time were compared between the two groups.Results There was no anastomotic leaked case and no water-electrolyte inbalance case in the improved group.There was 1 anastomotic leaked case,1 hypokalemia case,1 hypokalemia and hyponatremia case in the traditional group.The postoperative intravenous rehydration time in the improved group was（5.75 ± 1.06） days,much shorter than that（9.56 ± 1.04） days in the traditional group.Conclusion No routine preoperative preparation and no gastrointestinal decompression tube for colorectal cancer surgery can shorten the time of intestinal preparation,reduce the interference of physiological functions of preoperative patients,and shorten the time of postoperative rehydration.Early postoperative feeding safety will be helpful for patients resumed as soon as possible.