碘伏灌洗在左半结肠癌并肠梗阻手术治疗中的疗效分析

Clinical analysis of iodophor rinse of left colorectal carcinoma with obstruction

目的探讨碘伏灌洗在左半结肠癌并肠梗阻手术治疗中的疗效。方法回顾性分析我院2006年1月至2012年1月间收治的76例左半结肠癌并肠梗阻行Ⅰ期切除吻合手术患者的临床资料,按术中灌洗液不同分为碘伏组和甲硝唑组。结果碘伏组患者术后切口感染、腹腔感染、吻合口漏、局部复发、远处转移等发生率均低于甲硝唑组,差异有统计学意义(P<0.05)。结论左半结肠癌并肠梗阻手术治疗中采用碘伏灌洗具有一定优势。

Objective To investigate the efficacy of iodophor rinse in left colorectal carcinoma with obstruction. Methods The clinical characteristics of 76 cases of left colorectal carcinoma performed with onestage surgical management in our hospital from January 2006 to January 2012 were analyzed retrospectively. Results There were significant differences among postoperative wound infection, abdominal infection, anastomotic leakage, local recurrences and distant metastases in Group A： iodine than Group B： metron- idazole （ P 〈0.05）. Conclusion Iodophor rinse is worthy of clinical application in patients suffered from left colorectal carcinoma with obstruction.