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目的观察急诊手术治疗梗阻性左半结肠癌的临床疗效。方法选取2004年3月—2011年3月我院临床救治的梗阻性左半结肠癌患者64例作为研究对象,将患者按照手术方式的不同分成对照组和观察组,其中对照组患者31例,采用Hartmann手术或造瘘术治疗;研究组患者33例,采用Ⅰ期切除吻合术的手术方式。治疗结束后,比较两组患者的并发症、术后复发及2年生存率情况。结果两组患者术后复发率和2年生存率比较,差异均无统计学意义(P>0.05);研究组患者并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论Ⅰ期切除吻合术及Hartmann手术作为治疗梗阻性左半结肠癌的急诊手术方法,二者疗效明显,可视情况不同进行选择。Ⅰ期切除吻合术可以避免多次手术,降低并发症发生率,值得临床推广应用。
Objective To observe the clinical efficacy of emergency surgery in the treatment of obstructive left colon cancer. Methods Sixty-four patients with obstructive left-sided colon cancer who underwent clinical treatment in our hospital from March 2004 to March 2011 were selected as the study subjects. The patients were divided into control group and observation group according to different surgical methods, including 31 patients in the control group, The use of Hartmann surgery or ostomy treatment; study group of 33 patients, the use of surgical resection and anastomosis. After treatment, the complication, postoperative recurrence and 2-year survival rate were compared between the two groups. Results There was no significant difference between the two groups in the recurrence rate and 2-year survival rate (P> 0.05). The incidence of complications in the study group was lower than that in the control group (P <0.05). Conclusions Stage Ⅰ resection and anastomosis and Hartmann’s surgery are effective emergency methods for the treatment of obstructive left-sided colon cancer. Both of them have obvious curative effect and can be chosen according to different situations. Stage Ⅰ resection and anastomosis can avoid multiple surgeries and reduce the incidence of complications, it is worth clinical application.