CAJ | 학술논문

目的：分析左半结肠癌并肠梗阻一期与二期手术临床疗效和安全性。方法选取80例左半结肠癌并肠梗阻患者，分成观察组和对照组，各40例，观察组给予一期手术治疗，对照组给予二期手术治疗，对两组临床数据进行统计学分析，比较手术临床疗效和安全性。结果观察组手术时间、住院时间和手术出血量分别为（42．9±13．8）min、（9．3±2．8）d、（45．9±11．7）mL，对照组手术时间、住院时间和手术出血量分别为（58．6±17．6）min、（6．8±1．5）d、（151．4±19．4）mL，两组数据比较差异均有统计学意义（t＝25.358、16．128、29．475，均P＜0．05）；观察组腹腔脓肿、肺部感染和切口感染不良反应发生率为7．5％、10.0％、20．0％，对照组腹腔脓肿、肺部感染和切口感染不良反应发生率为17．5％、2．5％、10．0％，两组差异均有统计学意义（ t＝4.512、4．336、4．762，均P＜0．05）。结论临床治疗左半结肠癌并肠梗阻应及时开展一期手术，可缩短住院时间，提高肿瘤切除率，改善患者生活质量。
목적：분석좌반결장암병장경조일기여이기수술림상료효화안전성。방법선취80례좌반결장암병장경조환자，분성관찰조화대조조，각40례，관찰조급여일기수술치료，대조조급여이기수술치료，대량조림상수거진행통계학분석，비교수술림상료효화안전성。결과관찰조수술시간、주원시간화수술출혈량분별위（42．9±13．8）min、（9．3±2．8）d、（45．9±11．7）mL，대조조수술시간、주원시간화수술출혈량분별위（58．6±17．6）min、（6．8±1．5）d、（151．4±19．4）mL，량조수거비교차이균유통계학의의（t＝25.358、16．128、29．475，균P＜0．05）；관찰조복강농종、폐부감염화절구감염불량반응발생솔위7．5％、10.0％、20．0％，대조조복강농종、폐부감염화절구감염불량반응발생솔위17．5％、2．5％、10．0％，량조차이균유통계학의의（ t＝4.512、4．336、4．762，균P＜0．05）。결론림상치료좌반결장암병장경조응급시개전일기수술，가축단주원시간，제고종류절제솔，개선환자생활질량。
Objective To analyze clinical efficacy and safety of left colon and bowel obstruction .Methods 80 cases of left colon and bowel obstruction were divided into the observation group and control group,40 cases in each group.The observation group was given a surgery,and the control group received two surgical treatment,the two groups were taken the statistical analysis of clinical data to compare the clinical efficacy and safety of operation. Results The operative time,hospital stay and surgical blood loss in the observation group was (42.9 ±13.8) min, (9.3 ±2.8)d,(45.9 ±11.7)mL,which in the control group were (58.6 ±17.6)min,(6.8 ±1.5)d,(151.4 ± 19.4)mL,there were statistically significant difference between the two groups(t=25.358,16.128,29.475,all P<0.05);The abdominal abscess,lung infections and wound infection incidence of adverse reactions in the observation group was 7.5 %,10.0%,20.0 %,which in the control group was 17.5 %,2.5%,10.0%,there were statistically significant difference between the two groups (t=4.512,4.336,4.762,all P<0.05).Conclusion The clinical treatment of left colon and bowel obstruction shall promptly conduct a surgery,the role of hospitalization in patients with shorter length to enhance tumor resection rate,and actively improve the quality of life of patients.