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目的总结左半结肠和末端回肠病变致急性肠梗阻患者的诊治体会。方法回顾性分析我院1995年以来经手术治疗的9例急性肠梗阻病人的临床资料。结果所有病例均急诊行I期肠切除吻合术,通过阑尾根部置管于吻合口近端肠腔内减压引流,无吻合口瘘的发生。结论在肠道未作充分准备条件下,肠梗阻患者,尤其是左半结肠癌并发肠梗阻患者,急诊施行I期肠切除术是切实可行的。
Objective To summarize the diagnosis and treatment of patients with acute intestinal obstruction caused by left colon and terminal ileum. Methods The clinical data of 9 patients with acute intestinal obstruction who underwent surgery in our hospital from 1995 were retrospectively analyzed. Results All patients underwent emergency stage I intestine resection and anastomosis, which was decompressed and drained through the proximal end of the anastomosis through the root of the appendix without anastomotic leakage. Conclusions In patients with intestinal obstruction, especially those with left colon cancer complicated with ileus, the I-phase enteric resection in emergency is feasible.