论文部分内容阅读
目的探讨左半结肠癌合并急性梗阻患者完成手术治疗后获得的效果。方法选取本院2005年12月~2012年12月左半结肠癌合并急性梗阻患者50例,对所有患者的临床资料进行回顾性分析。结果 50例患者全部成功完成手术,行Ⅰ期切除吻合术的患者47例(94%),行Ⅱ期肠造瘘吻合术的患者3例(6%)。没有出现死亡的患者。Ⅰ期切除吻合术患者术后发生切口感染1例,经抗炎、换药,行二期缝合治愈;吻合口漏1例,经禁食、肠外营养及有效引流等处理,术后6周治愈;腹腔感染1例,经抗炎、有效引流等处理治愈;Ⅱ期肠造瘘吻合术的患者,发生切口感染1例,经抗炎、换药,行二期缝合治愈。结论针对左半结肠癌合并急性梗阻的患者,采用Ⅰ期切除吻合术进行治疗,最终获得的疗效显著,临床成功凸显了手术治疗的应用价值与意义。
Objective To investigate the effect of surgical treatment of patients with left-sided colon cancer with acute obstruction. Methods Fifty patients with colon cancer with acute obstruction in the left half of our hospital from December 2005 to December 2012 were selected and the clinical data of all patients were retrospectively analyzed. Results All the 50 patients were successfully completed the operation, 47 patients (94%) underwent stage Ⅰ resection and anastomosis, and 3 patients (6%) underwent stage Ⅱ enterostomy anastomosis. No deaths occurred in patients. One case of incision infection occurred in stage Ⅰ resection and anastomosis patients. One case was cured by anti-inflammation and dressing change and one case was anastomotic leakage. After fasting, parenteral nutrition and effective drainage, One case of abdominal infection was cured by anti-inflammatory and effective drainage. One case of incision infection occurred in patients with stage Ⅱ enterostomy. The patients were cured by anti-inflammation and dressing change. Conclusion For the patients with left-sided colon cancer with acute obstruction, the treatment of stage Ⅰ resection and anastomosis is the most effective method. The clinical efficacy of this method is significant, and its clinical success highlights the value and significance of surgical treatment.