43例梗阻性左半结肠一期切除吻合治疗的体会  

The Experience of the Treatment for 43 Cases of Obstructive Left Colon Resection and Anastomosis

作　　者：陈剑雄 林良辉 苏鉴柠 

机构地区：[1]广东省阳江市人民医院,广东阳江529500

出　　处：《中国医药指南》2013年第29期306-307,共2页Guide of China Medicine

摘　　要：目的探讨梗阻性左半结肠患者行一期切除吻合术后疗效观察。方法资料选自2008年3月至2012年3月在本院治疗梗阻性左半结肠肿瘤的患者43例,对所有患者进行一期切除吻合手术治疗,并观察患者治疗后切口感染、吻合口瘘、肺部感染、病死等情况以及不同病程下患者的治疗效果。结果治疗后,病程<2d的患者总有效率为94.4%,病程为2～5d之间的患者总有效率是83.3%,而病程>5d的患者,总有效率为76.9%;切口感染3例(6.97%),肺部感染5例(11.62%),吻合口瘘2例(4.65%),死亡1例(2.32%)。结论一期切除吻合术治疗梗阻性左半结肠病的效果明显,且无严重的合并症发生,总有效率高,能大大提升患者的生存率,值得在临床上广泛应用。Ohjeetive To investigate the curative effect of patients with obstructive left colon performed one-stage resection and anastomosis. Methods 43 cases of patients with obstructive left colon tumor in this hospital from 2008 March to 2012 March, all patients were treated for one-stage resection and anastomosis operation, after treatment of wound infection, anastomotic fistula, pulmonary infection, the mortality of the patients and the therapeutic effect of patients with different course of disease were observed. Results After the treatment, the total efficiency of the patients with less than 2d was 94.4%, the duration of patients with 2-5d between the total efficiency was 83.3%, and the course of disease in patients older than 5 days, the total effective rate was 76.9%;with 3 case of incision infection （6.97%）, 5 cases of pulmonary infection （11.62%）, 2 cases of anastomotic fistula （4.65%）, 1 cases of death （2.32%）. Conclusion The effect of treating obstructive left colonic disease with one stage resection and anastomosis is evident, and there no serious complications occurred, the total effective rate is high, it can greatly improve the survival rate of patients, and it is worthy of extensive application in clinic.

关 键 词：梗阻性左半结肠 一起切除吻合术 治疗效果 

分 类 号：R656.9[医药卫生—外科学]