CAJ | 학술논문

目的比较结肠内支架解除梗阻后Ⅱ期结肠癌根治术与术中大肠灌洗Ⅰ期切除吻合术的临床效果.方法选择32例左半结肠癌并发肠梗阻患者,遵照患者意愿行结肠内支架解除肠梗阻后Ⅱ期结肠癌根治手术(支架组)14例和术中大肠灌洗Ⅰ期切除吻合术(Ⅰ期吻合组)18例,观察比较两组手术时间、术后并发症发生率、术后引流量、住院时间等.结果支架组均一次性成功放置结肠内支架,Ⅱ期结肠癌根治吻合术顺利,未发生吻合口漏和腹腔感染等,并发切口感染1例；手术时间(115±26)min,术后3d内引流量(127±66)ml,住院时间(12.5±3.2)d.Ⅰ期吻合组手术时间(210±39)min,术后引流量(175±57)ml,住院时间(14.8±2.6)d,并发吻合口漏2例、切口感染12例,死亡7例.两组手术时间、术后引流量、住院时间、吻合口漏及切口感染发生率等差异均有统计学意义(均P＜0.05).结论结肠内支架解除梗阻后Ⅱ期结肠癌根治手术与术中灌洗Ⅰ期切除吻合术相比较,术后恢愎快,并发症少.
목적 비교결장내지가해제경조후Ⅱ기결장암근치술여술중대장관세Ⅰ기절제문합술적림상효과.방법 선택32례좌반결장암병발장경조환자,준조환자의원행결장내지가해제장경조후Ⅱ기결장암근치수술(지가조)14례화술중대장관세Ⅰ기절제문합술(Ⅰ기문합조)18례,관찰비교량조수술시간、술후병발증발생솔、술후인류량、주원시간등.결과 지가조균일차성성공방치결장내지가,Ⅱ기결장암근치문합술순리,미발생문합구루화복강감염등,병발절구감염1례；수술시간(115±26)min,술후3d내인류량(127±66)ml,주원시간(12.5±3.2)d.Ⅰ기문합조수술시간(210±39)min,술후인류량(175±57)ml,주원시간(14.8±2.6)d,병발문합구루2례、절구감염12례,사망7례.량조수술시간、술후인류량、주원시간、문합구루급절구감염발생솔등차이균유통계학의의(균P＜0.05).결론 결장내지가해제경조후Ⅱ기결장암근치수술여술중관세Ⅰ기절제문합술상비교,술후회퍅쾌,병발증소.
Objective To explore the effect of the treating left colon cancer,Compare left colon irrigation at one-stage radical colon resections were performed with the way which is given colon bracket insertion operation then two-stage radical colon resections were performed.Methods 32 cases sigmoid and rectum cancer patients with obstruction were received.And 14 cases were treated by colon irrigation at one-stage radical colon resections; 18 cases were treated by colon bracket insertion operation then two-stage radical colon resections were performed.To analyze the complications of after-operation、the average time in hospital.Results No occurence of anastomotic leakage was found in the two-stage radical colon resections.There was only one case was infected; the operation time(115 ± 26)min.The drainage in 3 days after the operation(127 ± 66)ml,length time(12.5 ± 3.2)d.The group of one-stage radical colon resections:the operation time(210 ± 39)min.The drainage in 3 days after the operation.length time(14.8 ±2.6)d,There was two cases of anastomotic leakage and 12 cases were infected and two dead were found in this group.Conclusion The way which was given colon bracket insertion operation then two-stage radical colon resections were performed,was better than colon irrigation at one-stage radical colon resections were performed,and with the first way patients life quality enhanced.