CAJ | 학술논문

目的：探讨一期切除吻合术治疗左半结肠癌合并急性肠梗阻临床疗效。方法：2008年2月至2011年2月对采用一期切除吻合术治疗的左半结肠癌合并急性肠梗阻27例进行回顾分析，作为观察组；选择同期接受传统二期吻合术治疗的患者19例作为对照组。比较2组患者术后排气时间、住院时间、术中出血量、并发症及3年生存率。结果：2组患者术后排气时间、住院时间、术中出血量及术后并发症发生率差异均无统计学意义(P>0.05)。观察组3年生存率为92.6%，对照组为63.2%，差异有统计学意义(P<0.05)。结论：一期切除吻合术治疗左半结肠癌合并急性肠梗阻安全可靠，且能够提高远期生存率，值得临床推广。
목적：탐토일기절제문합술치료좌반결장암합병급성장경조림상료효。방법：2008년2월지2011년2월대채용일기절제문합술치료적좌반결장암합병급성장경조27례진행회고분석，작위관찰조；선택동기접수전통이기문합술치료적환자19례작위대조조。비교2조환자술후배기시간、주원시간、술중출혈량、병발증급3년생존솔。결과：2조환자술후배기시간、주원시간、술중출혈량급술후병발증발생솔차이균무통계학의의(P>0.05)。관찰조3년생존솔위92.6%，대조조위63.2%，차이유통계학의의(P<0.05)。결론：일기절제문합술치료좌반결장암합병급성장경조안전가고，차능구제고원기생존솔，치득림상추엄。
Objective:To investigate the clinical effects of the one-stage resection and anastomosis in the treatment of left colon carcinoma complicated with acute obstruction. Methods:The left colon carcinoma complicated with acute obstruction patients treated with one-staged resection and anastomosis and traditional two-stage anastomosis were divided into the observation group(27 cases) and control group(19 cases),respectively. The postoperative exhaust time,intraoperative blood loss,hospital stay,complications and 3-year survival rate between two groups were compared. Results:The differences of the postoperative exhaust time,intraoperative blood loss, hospital stay and complications between two groups were not statistically signifficant(P>0. 05). The 3-year survival rates of observation group and control group were 92. 5% and 63. 2%,respectively,the difference of which was statistically significant(P <0. 05). Conclusions:The one-stage resection and anastomosis in the treatment of left colon carcinoma complicated with acute obstruction is safe and reliable,which can improve the long-term survival rate,and is worth clinical promotion.