一期切除吻合术治疗左半结肠癌合并急性肠梗阻27例疗效观察  

Clinical effect of the one-stage resection and anastomosis in the treatment of left colon carcinoma complicated with acute obstruction of 27 cases

作　　者：赵德胜[1] 韩继光[1] 

机构地区：[1]安徽省濉溪县医院普外科,235100

出　　处：《蚌埠医学院学报》2014年第6期760-761,764,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨一期切除吻合术治疗左半结肠癌合并急性肠梗阻临床疗效。方法:2008年2月至2011年2月对采用一期切除吻合术治疗的左半结肠癌合并急性肠梗阻27例进行回顾分析,作为观察组;选择同期接受传统二期吻合术治疗的患者19例作为对照组。比较2组患者术后排气时间、住院时间、术中出血量、并发症及3年生存率。结果:2组患者术后排气时间、住院时间、术中出血量及术后并发症发生率差异均无统计学意义(P>0.05)。观察组3年生存率为92.6%,对照组为63.2%,差异有统计学意义(P<0.05)。结论:一期切除吻合术治疗左半结肠癌合并急性肠梗阻安全可靠,且能够提高远期生存率,值得临床推广。Objective：To investigate the clinical effects of the one-stage resection and anastomosis in the treatment of left colon carcinoma complicated with acute obstruction. Methods：The left colon carcinoma complicated with acute obstruction patients treated with one-staged resection and anastomosis and traditional two-stage anastomosis were divided into the observation group（27 cases） and control group（19 cases）,respectively. The postoperative exhaust time,intraoperative blood loss,hospital stay,complications and 3-year survival rate between two groups were compared. Results：The differences of the postoperative exhaust time,intraoperative blood loss, hospital stay and complications between two groups were not statistically signifficant（P〉0. 05）. The 3-year survival rates of observation group and control group were 92. 5% and 63. 2%,respectively,the difference of which was statistically significant（P 〈0. 05）. Conclusions：The one-stage resection and anastomosis in the treatment of left colon carcinoma complicated with acute obstruction is safe and reliable,which can improve the long-term survival rate,and is worth clinical promotion.

关 键 词：结肠肿瘤 肠梗阻 结肠切除术 

分 类 号：R735.35[医药卫生—肿瘤]