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目的探讨左半结肠癌急性梗阻Ⅰ期手术中采用碘伏灌肠,以减少术后并发症的发生率。方法将收治的左半结肠癌急性梗阻需行Ⅰ期手术的74例病人随机分为两组,Ⅰ组31例不使用碘伏灌洗,Ⅱ组43例用碘伏灌肠。对比分析术后并发症的发生情况。结果Ⅰ组有5例发生切口感染(16.13%),2例发生吻合口漏(6.45%);Ⅱ组仅有1例发生切口感染(2.33%),无吻合口漏发生。两组并发症总发生率比较差异有显著性(P<0.05)。结论左半结肠癌急性梗阻Ⅰ期手术中采用碘伏灌肠安全可行,且能降低术后并发症的发生率。
Objective To investigate the acute obstruction of left-sided colon cancer with iodophor enema in stage Ⅰ surgery to reduce the incidence of postoperative complications. Methods Totally 74 patients with acute obstruction of left-sided colon cancer who underwent stage Ⅰ operation were randomly divided into two groups. Group Ⅰ (31 cases) did not use iodophor and group Ⅱ (43 cases). Comparative analysis of the incidence of postoperative complications. Results In group Ⅰ, there were 5 cases of incisional infection (16.13%), 2 cases of anastomotic leakage (6.45%); only 1 case of incision infection (2.33%) in group Ⅱ, no anastomotic leakage occurred. The total incidence of complications between the two groups was significantly different (P <0.05). Conclusion Acute obstruction of left colon cancer is safe and feasible in the first phase of operation with iodophor enema, and can reduce the incidence of postoperative complications.