可控性结肠外置在急诊左半结肠一期手术中的应用

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目的探讨可控性结肠外置在急诊左半结肠一期修补、切除吻合术中的可行性。方法回顾我院2007年1月至2012年3月在院的52例急诊左半结肠患者施行可控制性结肠外置手术的临床资料,总结分析该术式的临床价值。结果术后1例发生吻合口瘘,再次提出外置肠管、腹腔引流治愈。全组患者术后腹痛、腹胀轻微,术后进食早,恢复好。结论可控性结肠外置在急诊左半结肠一期手术中能显著降低吻合口瘘发生率,效果满意,值得推广。 Objective To investigate the feasibility of controllable colon external fixation in the first stage of the emergency left anterior colon resection and anastomosis. Methods The clinical data of 52 patients with acute left colon cancer who underwent surgery in our hospital from January 2007 to March 2012 in our hospital were retrospectively reviewed. The clinical value of this technique was summarized and analyzed. Results One case had anastomotic fistula after surgery and the external bowel was again put out and celiac drainage was cured. All patients after abdominal pain, abdominal distension, postoperative early, good recovery. Conclusions The controllable colon externa could significantly reduce the incidence of anastomotic fistula in the first stage of left-colon emergency surgery, with satisfactory results and worthy of promotion.
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