结肠癌合并肠梗阻行开腹术的临床效果观察

Clinical Effect of Colon Cancer with Intestinal Obstruction for Laparotomy

目的探讨采用开腹手术治疗肠癌肠梗阻患者的临床疗效。方法收集2015年6月至2017年6月间我院收治的结肠癌并发肠梗阻患者60例。采用信封法随机分为对照组30例采用传统分期手术治疗,试验组30例采用Ⅰ期切除吻合术治疗。观察两组患者术中出血量、胃肠功能恢复时间。结果两组患者的术中出血量和术后胃肠功能恢复时间比较差异没有统计学意义(P>0.05)。结论肠癌肠梗阻患者依据具体情况做出选择,术式之间差异不显著,均可广泛运用到临床。

Objective To investigate the clinical efficacy of open abdominal surgery for intestinal obstruction of intestinal carcinoma.Methods A total of 60 patients with colon cancer complicated with intestinal obstruction were treated in our hospital from June 2015 to June-2017.The envelope method was randomly divided into the control group(30 cases)and the traditional staging operation.The 30 cases in the experimental group were treated with one-stage resection and anastomosis.The intraoperative blood loss and the recovery time of gastrointestinal function were observed in the two groups.Results There was no significant difference between the two groups in the intraoperative blood loss and postoperative gastrointestinal function recovery time(P>0.05).Conclusion The choice of intestinal obstruction in patients with intestinal carcinoma is based on specific conditions,and there is no significant difference between the two methods.They can be widely applied to the clinic.