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目的观察左半结肠发生急性梗阻并进行一期切除时术中结肠灌洗的疗效。方法对烟台毓璜顶医院莱山分院2010-06-2011-09收治的左半结肠急性梗阻患者12例资料进行回顾,12例患者术中均进行顺行肠道灌洗。结果 12例患者均行结肠一期切除,术后除切口感染者1例、肺部感染1例外,其余10例患者切口均一期愈合。12例患者无一例出现吻合口漏等严重并发症,无一例死亡,平均(18±3)d痊愈出院。结论急性左半结肠梗阻患者行一期切除手术同时进行术中顺行结肠灌洗能快速解除患者梗阻并减少术后吻合口漏等并发症,疗效显著,值得应用。
Objective To observe the curative effect of intraoperative colon lavage with acute obstruction of the left colon and a one-stage resection. Methods The data of 12 patients with acute left obstruction of the left colon admitted from Laishan Branch of Yantai Yuhuangding Hospital 2010-06-2011-09 were retrospectively reviewed. All of the 12 patients underwent lavage of intestinal tract during operation. Results All patients underwent primary colostomy in 12 patients. One patient was incisional infected and one was pulmonary infection. All the other 10 patients underwent wound healing in one time. None of the 12 patients had severe complications such as anastomotic leakage, and none of them died. The patients were discharged on average (18 ± 3) days. Conclusions Acute left-sided colon obstruction patients underwent one-stage resection combined with intra-operative cis-lavage can quickly relieve the obstruction and reduce the complications such as anastomotic leakage after operation. The therapeutic effect is worthy of application.