急诊Ⅰ期切除吻合术与分期切除吻合术治疗梗阻性左半结肠癌疗效及并发症的比较  

Comparison on clinical efficacy and complications of emergency stage Ⅰ resection and anastomosis versus staged resection and anastomosis for obstructive left colon cancer

作　　者：窦彩玲 王晨宇 Dou Cailing;Wang Chenyu(Department of General Surgery,Huaihe Hospital of Henan University,Kaifeng 475001,China)

机构地区：[1]河南大学淮河医院普外科,开封475001

出　　处：《临床医学》2024年第3期5-7,共3页Clinical Medicine

基　　金：2021年河南省医学科技攻关发展项目(212102310696);2022年河南省医学科技攻关发展项目(222102310729)。

摘　　要：目的比较急诊Ⅰ期切除吻合术与分期切除吻合术治疗梗阻性左半结肠癌的临床疗效及术后并发症发生情况。方法选择河南大学淮河医院2021年3月至2022年12月收治的91例梗阻性左半结肠癌患者为研究对象,将患者随机分为对照组与研究组。对照组(n=45)接受分期切除吻合术治疗,研究组(n=46)接受急诊Ⅰ期切除吻合术。比较两组治疗总有效率、手术相关指标及术后并发症发生情况。结果研究组总有效率(97.83%,45/46)高于对照组(82.22%,37/45),差异有统计学意义(P<0.05)。研究组术后排气时间、术后引流管拔除时间、住院时间、术后首次下床活动时间均短于对照组(P<0.05)。研究组术后并发症发生率(4.35%,2/46)低于对照组(20.00%,9/45),差异有统计学意义(P<0.05)。结论与分期切除吻合术比较,急诊Ⅰ期切除吻合术在梗阻性左半结肠癌中的疗效更为理想,且术后并发症发生率较低。Objective To compare the clinical efficacy and postoperative complications of emergency stage Ⅰ resection and anastomosis and staged resection and anastomosis for obstructive left colon cancer.Methods Ninety-one patients with obstructive left colon cancer admitted to Huaihe Hospital of Henan University from March 2021 to December 2022 were selected as study samples.The patients were randomly divided into control group and study group.The control group(n=45)received staged resection and anastomosis treatment,while the study group(n=46)received emergency stage Ⅰ resection and anastomosis.The total effective rate,surgical related indicators,and postoperative complications were compared between the two groups.Results The total effective rate of the study group(97.83%,45/46)was higher than that of the control group(82.22%,37/45),the difference was significant(P<0.05).The study group had shorter postoperative exhaust time,drainage tube removal time,hospitalization time,and first postoperative bed activity time compared to those of the control group(P<0.05).The incidence of postoperative complications in the study group(4.35%,2/46)was lower than that in the control group(20.00%,9/45),the difference was significant(P<0.05).Conclusions Compared with staged resection and anastomosis,emergency stage Ⅰ resection and anastomosis has a more ideal therapeutic effect and a lower incidence of postoperative complications in obstructive left colon cancer.

关 键 词：梗阻性左半结肠癌 急诊Ⅰ期切除吻合术 分期切除吻合术 并发症 

分 类 号：R735.35[医药卫生—肿瘤]