左半结肠癌并急性肠梗阻一期手术切除吻合的临床观察  

Clinical observation of one-stage resection of left colon cancer with acute obstruction

作　　者：翁少涛 李廷坚[1] 卢旭强[1] 王博智 

机构地区：[1]汕头市第二人民医院普外科,广东省汕头515011

出　　处：《中国基层医药》2015年第4期487-489,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨左半结肠癌并发急性肠梗阻的外科治疗方法及效果.方法 回顾性分析85例大肠癌并发急性肠梗阻行一期手术切除吻合患者的临床资料.其中左半结肠癌并发阻48例（治疗组）,以右半结肠癌并发梗阻37例为对照组,比较术后并发症发生情况.结果 治疗组共发生术后并发症20例,其中吻合口瘘2例、肺部感染4例、腹腔脓肿5例、切口感染6例、肠粘连3例;对照组术后并发症15例,其中吻合口瘘1例,肺部感染3例,腹腔脓肿3例,切口感染5例,肠粘连3例,术后两组并发症发生率差异均无统计学意义（均P＞0.05）.结论 一期切除吻合手术治疗左半结肠癌并发梗阻是可行的.Objective To explore the effect of surgical management of left colon cancer with acute obstruction.Methods A retrospective analysis was made on the clinical data of 85 cases with acute obstructive colorectal carcinoma treated by one-stage resection.Among the 85 cases,there were 48 cases of left colon obstruction （treatment group）,and the control group included 37 cases of right colon cancer.To compare the occurrence of postoperative complications.Results 20 cases had postoperative complication in the treatment group,among which,2 cases had anastomosis fistula,4 cases of pulmonary infection,5 cases of abdominal abscess,6 cases of incision infection and 3 cases of intestinal adhesion.In control group,there were 15 cases had complication,among which,1 case had anastomosis fistula,3 cases of pulmonary infection,3 cases of abdominal abscess,5 cases of incision infection and 3 cases of intestinal adhesion.There was no significant difference in incidence rate of complication between two groups （P 〉 0.05）.Conclusion One stage resection in the treatment of left colon cancer with acute obstruction is safe and feasible.

关 键 词：结肠肿瘤 肠梗阻 吻合术 外科 

分 类 号：R735.35[医药卫生—肿瘤]