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目的探讨急症良性左半结肠梗阻行一期切除吻合术的可行性及适应证。方法2003-2008年收治的18例良性左半结肠梗阻病人接受急症手术,均采用术中灌洗后一期切除吻合术,观察疗效及并发症情况。结果18例均顺利完成一期切除吻合术,无一例围手术期死亡。并发症包括腹腔感染2例,伤口感染6例,均经保守治疗治愈。结论急症良性左半结肠梗阻病人进行适当的术中处理后,一期切除吻合术技术上是安全可行的。
Objective To investigate the feasibility and indications of one-stage resection and anastomosis in the treatment of acute benign left colon obstruction. Methods 18 patients with benign left hepaticobiliary obstruction admitted to our hospital from 2003 to 2008 underwent emergency surgery. All patients underwent one-stage resection and anastomosis after lavage. The curative effect and complications were observed. Results 18 cases were successfully completed a resection and anastomosis, no case of perioperative deaths. Complications included 2 cases of abdominal infection and 6 cases of wound infection, all of which were cured by conservative treatment. Conclusions The first-stage resection and anastomosis is technically feasible and safe for patients with acute benign left-sided obstruction after proper intra-operative treatment.