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目的探讨生物可分解肠吻合环(BAR)在结肠癌术中的应用。方法将2004年7月至2008年5月收治行肠切除并吻合的110例结肠癌分为2组,吻合环组(BAR组)52例,手工缝合组58例。观察2组术后主要并发症、手术时间及肠功能恢复时间等并进行比较。结果BAR组无1例发生术后吻合口漏,手工缝合组1例术后发生吻合口漏,经保守治疗后治愈;BAR组发生不完全性吻合口梗阻3例,手工缝合组发生2例,经保守治疗均治愈。2组间术后并发症差异无统计学意义(P>0.05)。术后肠道功能恢复时间分别为BAR组(66.9±5.1)h,手工缝合组(71.2±6.5)h,2组间无统计学差异(P>0.05)。吻合口炎症发生情况:BAR组2例(3.8%),手工缝合组9例(15.5%),2组间吻合口炎症发生率比较差异有统计学意义(P<0.01)。结论BAR具有手术操作简单、手术时间短、安全、吻合可靠等优点,是可标准化的肠道吻合方法。
Objective To investigate the application of biodegradable enterostomy ring (BAR) in colon cancer. Methods One hundred and ten cases of colon cancer who undergone intestinal resection and anastomosis between July 2004 and May 2008 were divided into two groups, including 52 cases of BAR group and 58 cases of manual suture group. The main complications, operation time and recovery time of intestinal function in the two groups were observed and compared. Results In the BAR group, there was no case of anastomotic leakage in one case. One case in the manual suture group had anastomotic leakage and was cured after conservative treatment. In the BAR group, there were 3 cases of incomplete anastomotic obstruction and 2 cases in the manual suture group. After conservative treatment are cured. There were no significant differences in postoperative complications between the two groups (P> 0.05). The postoperative intestinal functional recovery time was 66.9 ± 5.1 h in the BAR group and 71.2 ± 6.5 h in the manual suture group, respectively. There was no significant difference between the two groups (P> 0.05). Anastomotic inflammation occurred in 2 cases (3.8%) in BAR group and 9 cases (15.5%) in manual suture group. There was significant difference in the incidence of anastomotic inflammation between the two groups (P <0.01). Conclusion BAR has the advantages of simple operation, short operation time, safety and reliability. It is a standardized intestine anastomosis method.