摘要
目的比较左半结肠癌致急性肠梗阻Ⅰ期根治性切除肠吻合手术时两种不同切除方法的疗效。方法58例左半结肠癌致急性肠梗阻患者行结肠次全切除术30例,左半结肠切除术28例。结果结肠次全切除和左半结肠切除患者手术时间分别为(150.0±21.4)min和(201.0±30.2)min,并发症发生率分别为16.7%和50.0%,住院病死率分别为0%和17.9%,两组比较均有统计学差异(P<0.05)。结肠次全切除患者术后均有腹泻,左半结肠切除患者术后腹泻10例,分别于3个月和1月内大便基本成形。结肠次全切除和左半结肠切除5年生存率分别为37.0%和32.0%,两组比较无统计学差异(P>0.05)。结论梗阻性左半结肠癌Ⅰ期根治性切除肠吻合手术方式中,结肠次全切除术明显优于左半结肠切除术,建议在合适的病例中推广应用。
Objective To investigate the efficacy of two methods of one-stage radical resection and intestinal anastomosis for acute obstruction caused by the left hemicolon cancer.Methods The clinic data of 58 cases of acute obstruction caused by the left hemicolon cancer was evaluated retrospectively,including 30 cases underwent subtotal colectomy,and 28 cases of left hemicolectomy.Results In the subtotal colectomy group and the left hemicolectomy group,the operative time,complication rate,and fatality rate in hospital was（150.0±21.4）minutes vs（201.0±30.2）minutes,16.7% vs 50.0%,and 0% vs 17.9%,that all had the signifficant differences（P〈0.05）.All the patients underwent subtotal colectomy diarrheaed after operation and were healed in 3 months.10 cases underwent left hemicolectomy diarrheaed,and were healed within 1 month.The 5-year survival rate was 37.0% and 32.0% in the subtotal colectomy group and the left hemicolectomy group respectively,which had no signifficant difference（P〉0.05）. Conclusion The subtotal colectomy is superior than the left hemicolectomy,which is commended to be used in the suitable cases.
出处
《中国现代手术学杂志》
2008年第3期193-195,共3页
Chinese Journal of Modern Operative Surgery
关键词
结肠肿瘤
肠梗阻
结肠切除术
colonic neoplasms,intestinal obstruction,colectomy
