术中结肠灌洗在梗阻性左半结肠癌Ⅰ期切除吻合术的临床应用  

Clinical analysis of coloclysis in operation on patients with acute obstructive left colon cancer

作　　者：连志刚[1] 游恩龙[1] 邓柏涛[1] 

机构地区：[1]福建医科大学附属三明第一医院外科一区,福建三明365000

出　　处：《现代医药卫生》2009年第21期3231-3233,共3页Journal of Modern Medicine & Health

摘　　要：目的:探讨术中结肠灌洗在梗阻性左半结肠癌的临床应用意义。方法:左半结肠癌110例,其中A组37例采用逆行结肠灌洗Ⅰ期切除吻合;B组29例采用顺行结肠灌洗Ⅰ期切除吻合。C组44例无合并肠梗阻,经充分的术前肠道准备后实施Ⅰ期切除吻合。结果:发生吻合漏B组1例,C组1例,A组0例;切口感染A组4例,B组9例,C组1例。结论:左半结肠癌性梗阻术中灌洗Ⅰ期切除吻合是可行的。术中逆行灌洗更加安全有效。Objective ：To investigate the significance of clinical applications of colonic irrigation daring surgery for obstructive left colon cancer, to increase the rate of primary resection and anastomosis, and to avoid the occurrence of anastomotic wound leakage and resection wound infection.Methods：of the 110 cases of left colon cancer, 37 in group A employed the methods of retrograde colonic irrigation and primary resection and anastomosis; 29 in group B employed the methods of antegrade colonic irrigation and primary resection and anastomosis;44 cases without combined ileus in group C employed the methods of performing primary resection and anastomosis after complete pre-surgery colon preparations.Results：There was 1 case of anastomotic wound leakage occurred in group B, 1 case in group C,no case occurred in group A.There were 9 eases of resection wound infection in group B, 1 case in group C. Conclusion：Irrigation and primary resection and anastomosis for left colon cancerous ileus surgery are feasible.Using retrograde irrigation in surgery proves more safe and effective.

关 键 词：左半结肠癌 急性肠梗阻 术中结肠灌洗 Ⅰ期切除吻合 

分 类 号：R6[医药卫生—外科学]