左半结肠癌致肠梗阻一期根治36例分析

Experience of Left Half Colon Cancer Obstruction to Effect a Radical Cure (36 Cases Report Attached)

目的探讨左半结肠癌致肠梗阻后急诊肠镜检查,活检,经灌注冲洗一期根治吻合的可行性,评价其有效性,安全性及适应性。方法选择2005年9月—2015年12月该院收治的左半结肠癌致肠梗阻患者70例为临床研究对象,根据患者治疗方法的不同分为传统治疗的对照组和一期根治术的观察组,对比两组患者的治疗效果及并发症。结果实验组36例患者中除1例高龄患者因术中麻醉意外呼吸功能衰竭死亡外,35例患者顺利恢复,手术时间为(97.52±10.02)min,住院时间为(15.01±3.55)d,与对照组比较,P<0.05,差异有统计学意义。结论通过合理的肠道准备,行急诊电子结肠镜检查,活检明确诊断后,恰当的术中灌洗,正规静脉营养支持,行左半大肠癌一期根治效果良好,也有安全性,在肛肠科及医院中可推荐广泛应用。

Objective To investigate the feasibility of radical resection and one-stage anastomosis caused by left colon cancer by means of emergency colonoscopy, biopsy and the Irrigation, and then to evaluate its effectiveness, safety and adaptability. Methods Selected September 2005 to December 2015 in our hospital obstruction of left colon cancer study of 70 patients with clinical, depending on the method of treatment were divided into conventional treatment group and an observation group of radical surgery, compared two groups of patients with treatment and complications. Results 36 patients except one case of anesthesia in elderly patients due to respiratory failure and death accident, the 35 patients recovered well, the operation time was（97.52 ± 10.02）min, length of stay was（15.01 ± 3.55）d, compared with the control group, P〈0.05, the difference was statistically significant. Conclusion Reasonable bowel preparation, underwent emergency electronic colonoscopy, biopsy diagnosis and appropriate intraoperative lavage, regular intravenous nutritional support, line a radical left colorectal good effect, but also security, in anorectal and hospitals can be widely recommended.