摘要
目的探讨术中肠道灌洗在梗阻性左半结肠癌根治术中肠道一期切除吻合的临床疗效。方法回顾性分析86例左半结肠癌并急性梗阻患者的术中处理。结果治疗组61例,行术中肠道灌洗一期切除吻合,56例恢复顺利,无并发症发生,5例出现伤口感染,3例出现吻合口瘘,2例死亡,均因晚期肿瘤致多器官衰竭死亡;对照组25例,行一期肠切除吻合而未行术中肠道灌洗,12例出现伤口感染,9例出现吻合口瘘,其中8例出现感染性休克,死于多器官功能衰竭(MODS)。统计显示术中肠道灌洗一期肠切除吻合组并发症发生率和死亡率明显低于未行结肠灌洗组,差异有统计学意义。结论左半结肠癌性梗阻术中肠道灌洗一期切除吻合对提高患者生存率,减少并发症发生有重要意义。
Objective To investigate the effectiveness of intraoperative colonic irrigation in primary resection of left colonic obstructive cancer.Methods 86 cases of acute obstructive left colonic cancer were retrospectively studied.Results 61 patients underwent colonic irrigation during primary resection of left colon.58 subjects successfully recovered,5 of them suffered from wound infection,3 patients suffered from anastomotic leakages, 2 fatal cases were noted.In the control group,25 patients received primary resection without colonic irrigation during operation,12 of them suffered from wound infection,9 patients suffered from anastomotic leakages,and 8 of them suffered from infective shock and died of MODS. The frequency of occurrence of complication and mortality was significantly lower than the control subjects without receiving colonic irrigation duringoperation.Conclusion Intraoperative colonic irrigation may reduce complication and increase the survival rate of patients with obstructive colonic cancer.
出处
《中国实用医药》
2008年第15期41-42,共2页
China Practical Medicine
关键词
术中肠道灌洗
左半结肠癌性梗阻
肠吻合
Obstructive colonic cancer
Colonic irrigation
Intestinal anastomosis
