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目的观察两种大肠癌的术前肠道准备方法对顺利进行手术及预防术后并发症的影响。方法选用105例大肠癌患者,用两种不同的方法进行肠道准备,其中灌肠的逆行肠道准备法(C BP)55例、口服甘露醇的顺行肠道准备法(O M P)50例,分别观察清洁程度、不良反应、依从性、切口腹腔感染率、吻合口瘘等情况。结果C BP组的清洁程度要好,不良反应较少,但依从性差,两种肠道准备方法对大肠癌手术后的切口和腹腔感染率、吻合口瘘等的差异无显著性。可能与各项综合治疗有关。结论两种肠道准备方法各有优缺点,临床上应视具体情况,合理选择。
Objective To observe the effect of preoperative bowel preparation for two kinds of colorectal cancer on the successful operation and prevention of postoperative complications. Methods A total of 105 patients with colorectal cancer were enrolled in this study. The intestine preparation was performed in two different ways, including 55 cases of enema retrograde bowel preparation (C BP), 50 cases of oral administration of mannitol followed by intestinal preparation (OMP) Respectively observed the degree of cleanliness, adverse reactions, compliance, incision infection rates, anastomotic fistula and so on. Results C BP group had better cleanness, fewer adverse reactions, but poor compliance. The two methods of bowel preparation showed no significant difference in incision, abdominal infection rate and anastomotic fistula after operation of colorectal cancer. May be related to the comprehensive treatment. Conclusion Both methods have their own advantages and disadvantages of intestinal preparation, clinical should be considered as the case may be, a reasonable choice.