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目的探讨左半结肠癌急性梗阻行一期切除吻合术的治疗效果。方法回顾性分析我院1998年7月~2005年9月收治的左半结肠癌急性梗阻132例的临床资料。结果本组病例术后未发生肠瘘,无死亡病例。结论术中合理应用结肠灌洗,术后积极辅助治疗,一期切除吻合术是安全可行的,可避免二次手术带给病人的痛苦,术后并发症也无明显增加。
Objective To investigate the therapeutic effect of one-stage resection and anastomosis in the treatment of acute obstruction of left colon cancer. Methods The clinical data of 132 patients with acute obstruction of left colon cancer treated in our hospital from July 1998 to September 2005 were retrospectively analyzed. Results This group of patients did not occur after intestinal fistula, no deaths. Conclusions Intraoperative colonic lavage is applied reasonably and postoperative positive adjuvant therapy is effective. It is safe and feasible to perform an anastomosis and resection and anastomosis in order to avoid the pain caused by secondary surgery and no obvious postoperative complications.