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目的探讨低位结肠癌伴急性梗阻一期切除吻合临床疗效。方法对32例低位结肠癌伴急性梗阻采取传统的根治术式,严格术中无菌操作;彻底肠道减压;一层套入式吻合。结果临床观察显示,32例一期切除吻合术均未发生漏,一期愈合。结论本术式一期进行根治,一层吻合,符合早期根治原则,5年生存率明显提高,是治疗低位结肠癌伴急性梗阻有效措施。
Objective To investigate the clinical effect of primary resection and anastomosis of low colon cancer with acute obstruction. Methods 32 cases of low colon cancer with acute obstruction to take the traditional radical mastectomy, strict intraoperative aseptic technique; thorough intestinal decompression; a layer of sleeve anastomosis. Results The clinical observation showed that 32 cases of primary resection and anastomosis did not occur leakage, a healing. Conclusions The first stage of radical operation, one layer of anastomosis, in line with the principle of early radical, 5-year survival rate was significantly improved, is an effective treatment of low colon cancer with acute obstruction.