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目的探讨左半结肠癌并肠梗阻患者进行一期切除吻合术后临床疗效分析。方法笔者选择我院自2002年3月至2010年10月近10年我院收治左半结肠癌并肠梗阻患者72例,围手术期通过完善处理后,并行一期切除吻合术。结果发生吻合口瘘4例,但经过二次手术痊愈出院;伤口感染患者9例,通过伤口换药对症处理痊愈,在住院期间无手术后死亡。结论左半结肠癌并肠梗阻的患者围手术期完善处理后,并行一期切除吻合术,取得了满意疗效,证明该方案可行,值得推广。
Objective To investigate the clinical efficacy of primary resection and anastomosis in patients with left colon cancer and intestinal obstruction. Methods The author chose our hospital from March 2002 to October 2010 nearly 10 years in our hospital for the treatment of left colon cancer and intestinal obstruction in 72 patients, after perioperative perfection by treatment, a concurrent resection and anastomosis. Results Anastomotic fistula occurred in 4 cases, but recovered after two surgeries; wound infection in 9 cases, treated by wound dressing for symptomatic treatment, died during hospitalization without surgery. Conclusions Patients with left colon cancer and intestinal obstruction after perioperative management and a concurrent resection and anastomosis, and achieved satisfactory results, the program proved feasible and worthy of promotion.