经肛肠梗阻导管在急性梗阻性左半结肠直肠癌中的应用  

Preoperative Application of Anorectal Ileus Tube in Acute Obstructive Left Colon Cancer Patients

作　　者：张楠[1] 周创业[1] 周振理[1] 

机构地区：[1]天津市南开医院第一外科,天津300100

出　　处：《中国中西医结合外科杂志》2013年第3期229-232,共4页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：国家中医药管理局"十一五"重点专科(脾胃病科)项目资助(02H1X1L206K205)

摘　　要：目的:探讨术前应用经肛肠梗阻导管在急性梗阻性左半结肠直肠癌中的作用。方法:将101例急性梗阻性左半结肠直肠癌患者根据治疗方式不同分为两组。治疗组52例急症置入经肛肠梗阻导管减压、冲洗引流、肠道准备,实施一期切除吻合术;对照组49例按传统方法(禁食水、胃肠减压、清洁灌肠,营养支持)治疗。结果:治疗组置管3d后腹围、胃肠减压量、梗阻近端结肠最大横径变化明显,24h内腹部症状缓解率、一期切除吻合手术率高,术后并发症及死亡率低,住院时间短,住院费用低。结论:应用经肛肠梗阻导管减压、冲洗引流后行一期切除吻合术,是治疗急性梗阻性左半结肠直肠癌的安全、有效的方法。Objective To investigate the preoperative application of anorectal ileus tube in acute obstruc- tive left colon cancer patients. Methods One hundred and one cases of acute obstructive left colon cancer in Tianjin Nankai Hospital were divided into 2 groups. Fifty two cases in the treatment group accepted anorectal ile- us tube decompression in emergency building and then first-staged resection and anastomosis in inpatient build- ing. Forty nine cases in the control group accepted first-staged resection and anastomosis in inpatient building. The treatment results were compared. Results Three days after anorectal ileus tube decompression, the abdo- men circumference, gastrointestinal decompression amount and the maximum transverse diameter of the proximal colon changed obviously. Compared to the control group, the 2d-hour abdominal symptom remission rate and the first-staged resection and anastomosis rate of the treatment group were higher. The postoperative complications and mortality were lower. The length of hospital stay was shorter. The hospitalization cost was cheaper. Conclusion Application of preoperative anorectal ileus tube decompression for acute obstructive left colon can-cer patient is safe and effective. It is worthy of being widely applied in clinic.

关 键 词：肠梗阻 结肠癌 肠梗阻导管 外科手术 

分 类 号：R735.35[医药卫生—肿瘤]