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目的评估左结肠急性梗阻患者接受一期切除吻合术的即时结局。方法回顾性分析8年间160例急性结肠梗阻患者临床资料,比较一期切除吻合术治疗左右结肠急性梗阻的安全性。结果 95例左结肠急性梗阻和65例右结肠急性梗阻实施了一期切除吻合术,两组病例在手术时间、病理结果、术后并发症和死亡率方面的差异均无统计学意义。结论左右结肠急性梗阻患者接受一期切除吻合术的安全性相似。
Objective To assess the immediate outcome of a one-stage resection and anastomosis in patients with acute left colonic obstruction. Methods The clinical data of 160 patients with acute colonic obstruction during the past 8 years were retrospectively analyzed. The safety of primary resection and anastomosis in the treatment of acute and obstructive colonic obstruction was compared. Results A total of 95 cases of acute left colonic obstruction and 65 cases of acute right colonic obstruction were performed one-stage resection and anastomosis. There was no significant difference in the operation time, pathological results, postoperative complications and mortality between the two groups. Conclusions The safety of patients with acute or obstructive colonic obstruction who underwent primary resection and anastomosis was similar.