摘要
目的探讨左半结肠癌伴梗阻一期吻合临床疗效。方法将我科收治的左半结肠癌患者95例,随机分为治疗组55例和对照组40例。治疗组采用术中结肠灌洗后一期吻合术,对照组采用二期吻合,并进行疗效观察比较。结果治疗组并发症及5年生存率都明显高于对照组,差异有统计学意义(P<0.05);2组吻合口瘘发生率及1、3年生存率比较差异无统计学意义(P>0.05)。结论完善术前全身情况的准备,纠正高危因素,术中认真、细致的操作,彻底肠腔减压,正确判断肠管情况和严密的吻合口缝合能够明显的降低病死率,延长5年生存率,改善患者的生活质量。
Objective Discussion clinical efficacy of left colon cancer with obstruction by one stage anastomosis. Methods 95 cases of left colon cancer patients in our subjects were randomly divided into treatment group 55 cases and 40 cases of the control group. Treatment group used one stage anastomosis after colonic lavage on intraoperative, the use of the second phase anastomosis with the control group, observed and compared the effect. Results Complications and 5-year survival rates of the treatment group were significantly higher than that in control group, the difference was significantly （ P 〈 0.05 ） ; The incidence of anastomotic leakage and survival rate of 1,3-year of these two groups compared was no significant difference （ P 〉 0.05 ）. Conclusion Improved the general situation of pre-operative preparation, to correctd high-risk factors, serious and meticulous operate, cavity decompression thoroughly and correctly judged the situation and suture anastomotic tightly can significantly reduced the mortality, extended 5-year survival rate and improved the quality of life.
出处
《临床合理用药杂志》
2009年第19期26-28,共3页
Chinese Journal of Clinical Rational Drug Use
关键词
左半结肠癌伴梗阻
结肠灌洗
一期吻合术
临床疗效
Left colon cancer with obstruction
Colonic lavage
One stage anastomosis
Clinical effect
