CAJ | 학술논문

目的：分析58例左半结肠癌并急性肠梗阻患者Ⅰ期手术临床疗效。方法：回顾性分析本院100例左半结肠癌并急性肠梗阻患者的临床资料，比较其手术方式及术后效果。结果：58例进行Ⅰ期手术，6例出现吻合口瘘，2例出现术后切口感染，58例患者均治愈。42例患者进行分期手术，5例患者术后出现吻合口瘘，42例患者均治愈。两种手术术后并发症发生率比较差异无统计学意义（P>0.05）。结论：左半结肠癌并急性肠梗阻患者应根据患者的病情选择合适的手术方式，及时争取时间进行Ⅰ期手术，能够快速缓解患者的梗阻症状，减轻患者的痛苦，挽救患者的生命。患者病情严重，身体不能耐受手术，需要选择分期手术。
목적：분석58례좌반결장암병급성장경조환자Ⅰ기수술림상료효。방법：회고성분석본원100례좌반결장암병급성장경조환자적림상자료，비교기수술방식급술후효과。결과：58례진행Ⅰ기수술，6례출현문합구루，2례출현술후절구감염，58례환자균치유。42례환자진행분기수술，5례환자술후출현문합구루，42례환자균치유。량충수술술후병발증발생솔비교차이무통계학의의（P>0.05）。결론：좌반결장암병급성장경조환자응근거환자적병정선택합괄적수술방식，급시쟁취시간진행Ⅰ기수술，능구쾌속완해환자적경조증상，감경환자적통고，만구환자적생명。환자병정엄중，신체불능내수수술，수요선택분기수술。
Objective:To analyze 58 left colon cancer surgeryⅠclinical efficacy patients with acute intestinal obstruction. Method:The clinical data of 100 left colon cancer patients with acute intestinal obstruction were analyzed retrospectively,compared the surgical procedure and postoperative effect. Result:Our hospital left colon cancer and 100 acute intestinal obstruction patients,58 cases of stageⅠsurgery,anastomotic fistula in 6 cases, 2 cases of postoperative incision infection,58 patients were cured. Staging surgery in 42 patients,5 patients with postoperative anastomotic leakage,42 patients were cured. Two kinds of postoperative complications incidence comparison difference was not significant(P>0.05). Conclusion:The left colon cancer in patients with acute intestinal obstruction should be based on the patient’s condition,select the appropriate surgical approachⅠoperation in a timely manner to gain time,to quickly relieve the obstructive symptoms of patients,to alleviate the suffering of patients,to save the lives of patients. Seriously ill patients,the body can not tolerate surgery,you need to select the surgical staging.