摘要
为评价应用术中肠道准备、吻合后管路回肠造口在恶性左半结肠癌梗阻的临床价值，对51例左半结肠癌恶性梗阻患者行梗阻近端肠减压后，用聚维酮碘灌洗肠腔，吻合后用带球囊蕈型管回肠造口。结果显示，51例左半结肠癌恶性梗阻患者均一期吻合。管路回肠造口术后2周拔除，术后无吻合口漏发生，无手术感染、手术死亡。结果表明，术中肠道准备配合管路回肠造口，能有效地防止吻合口漏，手术安全可靠。
This study was to evaluate the clinical value of intraoperative bowel preparation and pipeline ile- ostomy following anastomosis in malignant obstruction of the left colon cancer. Fifty-one cases of acute ma- lignant obstruction of left colon cancer underwent operations, in which after decompression of intestinal ob- struction in the proximal end, povidone iodine was used for bowel lavage, and ileostomy was performed with a balloon-mushroom tube after anastomosis. The results showed that all cases had primary anastomo- sis;no postoperative anastomotic leakage,infections and deaths occurred 2 weeks after extubation. It is con- cluded that intraoperative bowel preparation plus pipeline ileostomy can effectively prevent anastomotic leakage,and this surgical procedure is safe and reliable.
出处
《中国肛肠病杂志》
2013年第5期21-22,共2页
Chinese Journal of Coloproctology
关键词
左半结肠梗阻
吻合口漏
肠道准备
管路回肠造口术
Left colon obstruction
Anastomotic leakage
Bowel preparation
Pipeline ileostomy
