CAJ | 학술논문

目的：探讨分析左半结肠恶性肿瘤并发肠梗阻切除一期吻合的临床效果。方法选取2008年10月～2010年11月因左半结肠恶性肿瘤并发肠梗阻就诊于本院进行治疗的120例患者为研究对象，随机分为治疗组（采用一期吻合手术治疗）60例患者，对照组（采用全结肠切除吻合术治疗）60例患者，统计两组患者术后出现并发症的情况及近期治疗效果。结果治疗组并发症总发生率为28.3%,明显低于对照组，一期吻合手术治疗组总有效率为56.7%，明显高于对照组，P<0.05,差异存在显著性。结论一期切除吻合术治疗结肠癌并发肠梗阻治疗效果显著，并发症少。
목적：탐토분석좌반결장악성종류병발장경조절제일기문합적림상효과。방법선취2008년10월～2010년11월인좌반결장악성종류병발장경조취진우본원진행치료적120례환자위연구대상，수궤분위치료조（채용일기문합수술치료）60례환자，대조조（채용전결장절제문합술치료）60례환자，통계량조환자술후출현병발증적정황급근기치료효과。결과치료조병발증총발생솔위28.3%,명현저우대조조，일기문합수술치료조총유효솔위56.7%，명현고우대조조，P<0.05,차이존재현저성。결론일기절제문합술치료결장암병발장경조치료효과현저，병발증소。
Objective To discuss the clinical effect of one stage anastomosis excision for left hemicolon malignant tumor complicated with intestinal obstruction. Methods From October, 2008 to November 2010, 120 patients with hemicolon malignant tumor complicated with intestinal obstruction were randomly divided into treatment group (one stage anastomosis excision, n=60) and control group (whole colon anastomosis excision, n=60). The postoperative complications and the recent therapeutic effect were compared. Results The total incidence of complications was 28.3%in treatment group. It was obviously lower than the control group. In one stage anastomosis excision group, the total effective rate was 56.7%. It was significantly higher than the control group, P<0.05, there was significant difference. Conclusions The clinical effect of one stage anastomosis excision for colon malignant tumor complicated with intestinal obstruction was remarkable, there was fewer complications.