结肠灌洗在左半结肠急性梗阻一期切除术中的应用  

THE APPLICATION OF COLON IRRIGATION IN ONE-STAGE RESEOTION OF LEFT COLON ACUTE OBSTRUCTION

作　　者：刘湘[1] 黄进[1] 林方略[1] 冯远德[1] 

机构地区：[1]海口市人民医院,570208

出　　处：《海南医学》1999年第4期225-226,共2页Hainan Medical Journal

摘　　要：目的：探讨结肠灌洗在左半结肠梗阻急诊一期切除吻合术的应用价值。方法：1992年—1998年对28例选择性病例常规行全结肠顺行灌洗，术中切除病变后切除阑尾，从阑尾残端插入一根24F的Foley导管，钳夹未端回肠，经导管注入37℃生理盐水至结肠流出液清洁为止，最后用0．5％灭满灵200ml加入生理盐水1000ml中行最后灌洗，以此作为术中肠道准备后，完成左半结肠一期切除吻合。结果：全组均痊愈，26例伤口一期愈合，2根伤口感染，经换药处理后愈合，无吻合口漏和死亡。结论：本法能提高左半结肠梗区急诊一期切除吻合术的安全性，方便可行，可推荐为术中两边准备的首选方法。objective: The purpose of this study was to elucidate the value of the application of colon irrigation in acute one-stage resection of left colon acute obstruction. Method: 28 selected cases with left colon acute obstruction was treated in operation by colon irrigation in position order from Oct 1992 to Dec 1998. We cut off the disorder colon and APpendix, inserted a 24F foley duct to the Appendix residue, incarcerated the ending of ileum, and then washed the colon with 37℃ saline till the washed water is cleaned. At last we irrigated the colon with the mixture of 0.5% Flagyl 200ml and saline 1000ml. Alter fininishing the colon preparation aswe said above, we did the left colon one-stage resection and anastomosis. Results: All patients cured.There was no death and leak of anastomosis. Two cases wound was infected and cured in end. Conclusions: This technique can raise the security of acute one-stage resection of left colon acute obstruction abilitily and conveniently. It is advocated that this technique be the first choice for colon preparation in operation.

关 键 词：结肠灌洗 左半结肠梗阻 一期切除吻合 应用 

分 类 号：R574.62[医药卫生—消化系统]