摘要
目的:回顾性分析比较左半结肠癌急性梗阻一期手术与同期左半结肠癌根治术患者的手术临床资料,探讨左半结肠癌急性梗阻一期手术的可行性。方法:回顾性将我中心2004年1月至2007年3月收治的59例左半结肠癌急性梗阻一期手术病例分为A组,将同期226例左半结肠癌根治术病例分为B组,比较两组之间清除淋巴结数、术后进食时间、吻合口漏发生率、肺部感染率、切口感染率、住院时间、复发和转移率。结果:在上述观察指标中,在A组分别为(13.3±1.8)枚,(3.6±0.9)d,1/59(1.69%),4/59(6.78%),2/59(3.39%),(12.4±0.9)d,6/59(10.17%);B组分别为12.8±1.5,3.2±0.8,1/226(0.44%),8/226(3.54%),6/226(2.65%),11.7±1.5,23/226(10.62%);经统计学处理,两组间没有显著性差异。结论:术中合理应用结肠灌洗,良好的手术技巧,术后积极辅助治疗,左半结肠癌急性梗阻一期手术是安全可行的,可避免二次手术带给患者的痛苦,术后并发症也无明显增加。
Objective: Retrospective analysis and comparison of acute obstruction of left colon cancer one-stage surgery and the same period a radical mastectomy in patients with left colon cancer surgery clinical data,To study the possibility of acute obstruction of left colon cancer one-stage surgery.Methods: A retrospective of my center from January 2004 to March 2007 were treated 59 cases of acute obstruction of left colon cancer one-stage surgery patients were divided into A group,will be left over the same period...
出处
《华西医学》
CAS
2009年第12期3123-3126,共4页
West China Medical Journal
关键词
左半结肠癌
急性梗阻
一期手术
结肠癌根治术
left colon cancer
acute obstruction
one-stage surgery
radical surgery of colon cancer
