CAJ | 학술논문

目的：探讨左侧结肠癌并急性肠梗阻的一期切除吻合的诊治体会。方法：2013年2月-2014年3月收治左侧结肠癌并急性肠梗阻患者80例，作为研究对象，将其施行一期切除吻合术的临床资料进行回顾性分析。结果：80例结肠癌并急性肠梗阻患者术后无一例死亡，46 h～5 d后开始肛门排气。当腹腔引流液澄清且＜20 mL/d时，将引流管拔出，术后8～11 d所有患者拆线。切口感染5例，腹腔感染6例，经过治疗后均痊愈；因合并低蛋白血症而出现吻合口瘘2例，经过肠内外营养支持治疗后痊愈。术后并发症发生率16.25%。结论：把握正确的手术时机行左侧结肠癌并急性肠梗阻一期切除吻合术效果良好，提高了患者的生活质量，并发症发生率低、安全性高，值得临床进一步推广。
목적：탐토좌측결장암병급성장경조적일기절제문합적진치체회。방법：2013년2월-2014년3월수치좌측결장암병급성장경조환자80례，작위연구대상，장기시행일기절제문합술적림상자료진행회고성분석。결과：80례결장암병급성장경조환자술후무일례사망，46 h～5 d후개시항문배기。당복강인류액징청차＜20 mL/d시，장인류관발출，술후8～11 d소유환자탁선。절구감염5례，복강감염6례，경과치료후균전유；인합병저단백혈증이출현문합구루2례，경과장내외영양지지치료후전유。술후병발증발생솔16.25%。결론：파악정학적수술시궤행좌측결장암병급성장경조일기절제문합술효과량호，제고료환자적생활질량，병발증발생솔저、안전성고，치득림상진일보추엄。
Objective:To explore the diagnosis and treatment experience of primary resection and anastomosis of left colon cancer combined with acute intestinal obstruction.Methods:80 patients with left colon cancer combined with acute intestinal obstruction were selected from February 2013 to March 2014.They were as the study object,and the clinical data of primary resection and anastomosis were analyzed retrospectively.Results:There was no one death cases in 80 cases of patients with colon cancer combined with acute intestinal obstruction.They had anal aerofluxus after 46 hours and 5 days.When abdominal drainage fluid was clear and less than 20 mL one day;the drainage tube was pulled out;all patients were taken out stitches after postoperative 8 to 11 days.5 cases were incision infection;6 cases were peritoneal infection,and after treatment they were cured.2 cases had anastomotic fistula due to the merger hypoalbuminemia,and they were cured after internal and external nutrition support treatment. The incidence rate of postoperative complication was 16.25% .Conclusion:Grasping the correct operation opportunity of giving primary resection and anastomosis of left colon cancer combined with acute intestinal obstruction has good effect.It improves the life quality of patients.It has low complication incidence rate and high security.It is worthy of further promotion.