摘要
目的探讨梗阻性结肠肿瘤一期手术切除吻合的疗效。方法回顾性分析1997年8月至2006年6月收治的21例梗阻性结肠肿瘤患者,均在未进行充分肠道准备下手术,行右半结肠切除9例,左半结肠切除7例,不规则切除5例。以同期的结肠肿瘤不合并肠梗阻的61例为对照组,均在充分肠道准备下手术,行右半结肠切除23例,左半结肠切除20例,不规则切除18例。结果研究组术后并发症发生率为14.3%(3/21),其中吻合口漏1例,伤口感染、腹腔感染各1例。对照组术后并发症发生率为9.8%(6/61),其中吻合口漏2例,伤口感染4例,两组比较无统计学差异(P>0.05)。结论对急慢性梗阻性结肠肿瘤可采取积极的治疗态度,创造手术条件,选择手术时机,采用病灶切除一期吻合可以达到满意的效果。
Objective To study the primary excision and anastomosis for the colon tumor complicated with bowel obstruction. Methods 21 cases of colon tumor complicated with bowel obstruction were surgically treated between August 1997 and June 2006 without adequate bowel preparation, including right colonectomy in 9 cases, left colonectomy in 7 cases, segmental resection in 5 cases. 61 cases of selective colonectomy with adequate bowel preparation during the same period for colon tumor were assigned to control group, including fight colonectomy in 23 cases, left colonectomy in 20 cases, segmental resectvion in 18 cases. Results Complication rate in study group was 14.3% （3/21）, including anastomotie leakage in 1 case, incisional infection and abdominal infection in 1 case respectively. Complication in control group was 9. 8% （6/61） , including anastomotic leakage in 2 cases, incisional infection in 4 cases. There was no significant differe;nce between two groups. Conclusion Primary excision and anastomosis for colon tumor is feasible and effective.
出处
《中国现代手术学杂志》
2006年第5期362-364,共3页
Chinese Journal of Modern Operative Surgery
