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目的探讨浆肌瓣隧道式肠吻合在梗阻性左半结肠癌一期切除吻合术中应用的可行性和安全性及临床疗效。方法对57例左半结肠癌并急性肠梗阻采取术中一期切除、浆肌瓣隧道式肠吻合治疗患者的临床资料进行回顾性分析。结果采用一期切除吻合的57例中,术后切口感染5例,无吻合口漏及腹腔感染发生,无死亡病例。结论浆肌瓣隧道式一期肠吻合既能有效防止吻合口漏发生,又能避免结肠造口及二期手术及给患者带来的痛苦及减轻经济负担,可显著提高患者术后生活质量,是治疗梗阻性左半结肠癌的一种安全有效术式。
Objective To investigate the feasibility, safety and clinical efficacy of the tunnel muscle enteric anastomosis in the primary resection and anastomosis of obstructive left colon cancer. Methods The clinical data of 57 cases of left colon cancer with acute intestinal obstruction undergoing primary resection and tunnel myenteric anastomosis were retrospectively analyzed. Results Of the 57 patients who underwent primary resection and anastomosis, 5 cases were infected with incision, no anastomotic leakage and intraperitoneal infection occurred, and no deaths occurred. Conclusion Pulmonary tunnel anastomosis of the pulp muscle flap can effectively prevent anastomotic leakage, but also to avoid the colostomy and second phase surgery and patients suffering and reduce the financial burden, can significantly improve the quality of life of patients, Is a safe and effective treatment of obstructive left colon cancer.