国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2009年
9期
643-644
,共2页
左半结肠梗阻%甘露醇结肠灌洗%一期结肠吻合术
左半結腸梗阻%甘露醇結腸灌洗%一期結腸吻閤術
좌반결장경조%감로순결장관세%일기결장문합술
left hemicolon obstruction%mannnitol coloinc lavage%one-stage colon anastomosis
目的 总结在左半结肠切除一期肠吻合术中高渗液甘露醇结肠灌洗的临床效果.方法 我院对31例左半结肠切除患者,术中依次行生理盐水、甲硝唑和20%甘露醇结肠灌洗,病变切除再行一期肠吻合.结果 除3例切口感染外,其余病例均在4～5天后开始进食,未发生吻合口瘘,痊愈出院.结论 左半结肠梗阻性病变需行结肠切除时,采用生理盐水、甲硝唑和甘露醇结肠灌洗,再行一期吻合术,术后肠功能恢复快,可防止吻合口瘘的发生.
目的 總結在左半結腸切除一期腸吻閤術中高滲液甘露醇結腸灌洗的臨床效果.方法 我院對31例左半結腸切除患者,術中依次行生理鹽水、甲硝唑和20%甘露醇結腸灌洗,病變切除再行一期腸吻閤.結果 除3例切口感染外,其餘病例均在4～5天後開始進食,未髮生吻閤口瘺,痊愈齣院.結論 左半結腸梗阻性病變需行結腸切除時,採用生理鹽水、甲硝唑和甘露醇結腸灌洗,再行一期吻閤術,術後腸功能恢複快,可防止吻閤口瘺的髮生.
목적 총결재좌반결장절제일기장문합술중고삼액감로순결장관세적림상효과.방법 아원대31례좌반결장절제환자,술중의차행생리염수、갑초서화20%감로순결장관세,병변절제재행일기장문합.결과 제3례절구감염외,기여병례균재4～5천후개시진식,미발생문합구루,전유출원.결론 좌반결장경조성병변수행결장절제시,채용생리염수、갑초서화감로순결장관세,재행일기문합술,술후장공능회복쾌,가방지문합구루적발생.
Objective Summarized the therapeutic effect of colonic irrigation by mannitol in one-stage resection and primary anastomosis for left hemicolon obstruction. Method For 31 cases of left hemicolon obstruction in our hospital, After process was cut, firstly we had done coloclysis with normal saline, metron-idazole and 20% mannitol,then one-stage anastomosis. Results With the exception of three cases of in-cision infection, the rest who start eating 4～5 days after operation were cured and no anastomotic fistula. Conclusion During the colon resection in left hemicolon obstruction, coloclysis with normal saline, met-ronidazole and 20% mannitol, then one-stage anastomosis, the intestinal function were quick recovery and can prevent colonic anastomotic fistula.
