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目的 探讨生物可分解肠吻合环在急性梗阻性大肠癌手术中的应用价值。方法 应用美国SDG公司生产的Valtrac生物可分解肠吻合环 ,对 32例急性梗阻性大肠癌行肠切除手术病人行肠肠吻合。结果 无吻合口漏 ,无术后出血。 2例行右半结肠癌根治的病人由于对于肠腔大小估计错误 ,1例造成小肠浆肌层撕裂 ,改用端、斜面吻合后成功吻合 ;另 1例换用较小型号的吻合环后成功吻合。结论 在大肠癌手术病人 ,梗阻段肠管有瘀血、水肿、管径大小不一的情况下 ,采用无缝线缝合的肠吻合环操作方便、安全、可靠。
Objective To investigate the value of biodegradable intestinal anastomosis ring in the treatment of acute obstructive colorectal cancer. Methods Valtrac biodegradable intestine anastomosis ring produced by American SDG Company was applied to perform intestinal enterostomy in 32 patients with acute obstructive colorectal cancer undergoing enteral resection. No anastomotic leakage results, no postoperative bleeding. 2 cases of right colon cancer patients with right colon cancer due to incorrect estimation of the size of the intestine, 1 case of small intestine caused by muscle tear, switch to the end, bevel anastomosis successful anastomosis; the other 1 case with a smaller type of anastomosis ring Successful match. Conclusion In patients with colorectal cancer, there is blood stasis, edema in the obstruction segment and different diameter of the intestine. It is convenient, safe and reliable to operate the intestinal anastomosis ring with sutureless suture.