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目的观察手术方法治疗左半结肠癌致急性肠梗阻的临床效果。方法回顾性分析手术治疗的左半结肠癌致急性肠梗阻患者60例,其中I期肠切除吻合术43例,腹结肠癌切除Hartman手术11例,行结肠造口II期手术6例。结果三种不同方法手术后总并发症13例(21.67%),住院10~15 d后,近期临床治愈59例(98.33%)。患者出院1年后随访存活58例(96.67%)。3年后患者存活51例(85.00%)。结论收治的左半结肠癌致急性肠梗阻患者应该进行合理的分析,结合具体的临床情况,选择合理的手术方法 ,推荐患者多采用I期切除吻合术,可以避免后期手术带来的经济负担,同时,加强监测和手术期管理对临床疗效也有很重要的影响。
Objective To observe the clinical effect of surgical treatment of acute intestinal obstruction caused by left colon cancer. Methods Sixty patients with acute intestinal obstruction caused by left-sided colon cancer underwent surgical resection. Among them, 43 cases were stage I intestine resection and anastomosis, 11 cases were resected by abdominal surgery and 11 cases were treated by colon-stoma II stage. Results There were 13 cases (21.67%) of the total complications after operation in three different methods. 59 (98.33%) cases were clinically cured after 10-15 days of hospitalization. One year after discharged from hospital, 58 patients (96.67%) survived. Three years later, 51 patients survived (85.00%). Conclusions The patients with acute intestinal obstruction caused by left-sided colon cancer should be analyzed reasonably. Combining with the specific clinical situation, choosing a reasonable surgical method and recommending patients to use more I-phase resection and anastomosis can avoid the economic burden brought by later operation. At the same time, monitoring and surgical management also have a significant impact on clinical outcomes.