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目的探讨急诊左半结肠Ⅰ期切除吻合术的可行性。方法回顾性分析近8年笔者所在医院收治的51例急诊左半结肠Ⅰ期切除吻合术患者的特点及预后。结果所有患者均无吻合口瘘发生,恢复较顺利,无严重并发症发生。结论只要严格掌握手术适应证和手术原则,完善围手术期处理,术中做好结肠灌洗,并予以吻合口上下肠腔内双管引流,术后进行综合治疗,对大部分结肠损伤及梗阻性肿瘤患者实施左半结肠Ⅰ期切除吻合术是安全可行的。
Objective To investigate the feasibility of primary resection and anastomosis in emergency left colon. Methods The characteristics and prognosis of 51 cases of emergency left hemi- colonic resection and anastomosis treated in the hospital where the author was admitted for the past 8 years were analyzed retrospectively. Results No anastomotic leakage occurred in all patients. The recovery was smooth and no serious complications occurred. Conclusion As long as the surgical indications and surgical principles are strictly controlled, the perioperative management is improved, the colon lavage is performed during the operation, and the anastomosis is performed by double tube drainage in the upper and lower intestine. After comprehensive treatment, most of the colon injury and obstruction It is safe and feasible for patients with tumors to perform a stage I resection and anastomosis of the left colon.