左半结肠癌并梗阻Ⅰ期手术切除吻合可行性探讨  

A feasibility study on resection and primary anastomosis for left-sided obstructing colonic carcinoma

作　　者：张红亮[1] 胡敦蓉[1] 马韶霞[1] 

机构地区：[1]漯河医学高等专科学校第三附属医院普外一科,漯河462000

出　　处：《河南外科学杂志》2014年第1期14-16,共3页Henan Journal of Surgery

摘　　要：目的探讨左半结肠癌并肠梗阻Ⅰ期手术切除吻合的可行性。方法对37例左半结肠癌合并急性梗阻患者的病例资料进行回顾性分析。结果 2组对比Ⅰ期切除吻合手术率提高(P<0.01),Ⅱ期手术率明显下降(P<0.01)。2组吻合口瘘发生率、切口感染率等差异无统计学意义(P>0.05)。结论左半结肠癌合并急性梗阻,合适选择病例,注重肠管血供、肠腔内清洁及手术要点,Ⅰ期手术切除吻合是可行的。Objective To investigate the feasibility of resection and primary anastomosis for left-sided obstructing colonic carcinoma.Methods Retrospective analysis of 37 cases of left-sided obstructing colonic carcinoma.Results There was no significant difference between the two groups in terms of the incidence of anastomotic fistula,incision infection rate,hypoalbuminemia after increasing the primary anastomosis rate significantly （P〉0.05）.The average length of stay,the secondary surgery rate decreased significantly （P〈0.01）,the patients,life quality significantly improved.Conclusion If we choose appropriate cases of left-sided obstructing colonic carcinoma,increase blood supply,clean the intestine,primary anastomosis is feasible.

关 键 词：左半结肠癌 急性梗阻 外科手术 

分 类 号：R656.9[医药卫生—外科学]