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直肠癌的手术治疗,在国内还存在着一些争论问题,本文将我院近8年来有关直肠癌手术前后的一些经验作一介绍。 一、肠道的术前准备 肠道准备的目的,1.希望术中肠管内没有粪渣,防止术中污染创面;2.可使肠道细菌减少,特别是厌氧菌,要防止创口感染。有人报道用全肠道灌洗法来达到此目的。但此法也给病人带来一定的不适,因此不能广泛采纳。我院过去肠道准备一直采用新霉素口服,但有些病人因严重呕吐而不能耐受。口服
There are still some controversial issues in the surgical treatment of rectal cancer. This article will introduce some experiences in the past 8 years of rectal cancer surgery in our hospital. First, the purpose of intestinal preoperative preparation of bowel preparations, 1. Hope that there is no fecal material in the bowel to prevent contamination of the wound during surgery; 2. To reduce intestinal bacteria, especially anaerobic bacteria, to prevent wound infection . Some people have reported using a total intestinal lavage method to achieve this goal. However, this method also brings certain discomfort to the patient and therefore cannot be widely adopted. Our hospital has been using neomycin for oral administration in the past, but some patients cannot tolerate it because of severe vomiting. oral