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目的:探究Ⅰ期切除吻合术治疗左半结肠癌所致的急性肠梗阻的术后效果。方法:选取2010年6月-2012年6月在我院进行治疗的左半结肠癌并发急性肠梗阻患者18例,分成观察组和对照组两组,每组9例。对观察组患者行Ⅰ期切除吻合术进行治疗,对照组患者行分期手术,观察两组患者术后的情况,并进行比较。结果:两组患者手术后的各项指标都有比较明显的差异,与对照组相比,观察组患者住院时间明显缩短,术后并发症出现率低,而且术后12个月的随访患者生存率高,差异具有统计学意义。结论:对于左半结肠癌并发急性肠梗阻的患者来说,进行Ⅰ期切除吻合术进行治疗,可以缓解患者的病情,并且手术安全,并发症少,值得在临床推广使用。
Objective: To investigate the effect of stage Ⅰ resection and anastomosis in the treatment of acute intestinal obstruction caused by left colon cancer. Methods: 18 patients with left colon cancer complicated with acute intestinal obstruction who were treated in our hospital from June 2010 to June 2012 were divided into observation group and control group, with 9 cases in each group. Patients in the observation group were treated with stage Ⅰ resection and anastomosis, and patients in the control group were treated by staging. The postoperative conditions of the two groups were observed and compared. Results: Compared with the control group, the observation group patients hospitalization time was significantly shorter, the incidence of postoperative complications was low, and the postoperative 12-month follow-up of patients with survival High rate, the difference was statistically significant. Conclusion: For patients with left colon cancer complicated with acute intestinal obstruction, resection and anastomosis of stage Ⅰ can relieve the patient’s condition, and the operation is safe and has fewer complications. It is worth to be used clinically.