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目的:探讨左半结肠肿瘤合并急性肠梗阻手术方法及疗效。方法:选择2010年1月~2012年12月在我院接受治疗的左半结肠肿瘤合并急性肠梗阻患者40例,所有患者均实施左半结肠切除术,横结肠与乙状结肠侧端吻合,且在吻合口远端预留横结肠9~14cm,在左侧腹壁进行单口造瘘,术后3~4个月实施腹膜外瘘口封闭术。结果:所有患者经手术治疗后治愈,没有发生吻合口瘘的现象,1例患者术后1周内因并发症而死亡。经过1~3年的随访,随访期间有10例患者死于肿瘤扩散,29例患者生存状况良好。经统计,患者术后一年生存率为97.5%(39/40),三年生存率为70%(28/40)。结论:临床治疗左半结肠肿瘤合并急性肠梗阻时,应用左半结肠切除吻合加横结肠单口造瘘术可以获得较好的临床疗效,并发症发生率低,有效改善患者生存质量,因此具有较高的临床应用价值。
Objective: To investigate the surgical treatment of left colon cancer with acute intestinal obstruction and its curative effect. Methods: From January 2010 to December 2012 in our hospital for treatment of left colon cancer with acute intestinal obstruction in 40 patients, all patients were underwent left half colon resection, lateral colon and sigmoid colon anastomosis, and in the anastomosis Oral distal reserved transverse colon 9 ~ 14cm, in the left abdominal wall for single-port ostomy, 3 to 4 months after the implementation of peritoneal external fistula occlusion. Results: All patients were cured after surgery. There was no anastomotic leakage. One patient died of complications within one week after operation. After 1 to 3 years of follow-up, 10 patients died of tumor spread during the follow-up period, and 29 patients survived well. According to the statistics, the one-year survival rate was 97.5% (39/40) and the three-year survival rate was 70% (28/40). Conclusion: The clinical treatment of left colon cancer with acute intestinal obstruction, the application of left half colon resection and anastomosis plus transverse colostomy can achieve better clinical efficacy, the incidence of complications is low, effectively improve the quality of life of patients, and therefore have a higher The clinical value.