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尹伯约教授直肠癌手术的术前准备主要是肠道准备及心理上的准备。理想的肠道准备应该是安全、迅速、清洁、抗菌效果好、方法简便、经济,并争取不刺激或极少刺激、压迫肿瘤。传统的肠道准备系指术前3～5天服低渣饮食,手术前1～2天改流质食,并服用缓泻剂和抗生素,术前一天开始清洁灌肠,这种方法有很多缺点,在有条件的单位已逐步减少使用。目前多采用全肠道灌洗术,自1973年Hewitt提倡该法以来,其方法有很多改良,80年代推出Golytely灌洗液(聚乙烯乙二醇、氯化钾、碳酸氢钠和硫酸钠),由于应用了硫酸钠为主盐和不吸收的聚乙烯
Professor Yin Baiyou’s preoperative preparation for rectal cancer surgery is mainly for bowel preparation and psychological preparation. The ideal bowel preparation should be safe, rapid, clean, with good antibacterial effect, simple and economical method, and strive for no stimulation or minimal stimulation and oppression of the tumor. The traditional bowel preparation refers to low slag diet 3 to 5 days before surgery, 1 to 2 days before surgery to change the quality of food, and taking laxatives and antibiotics, cleansing enema on the day before surgery, this method has many shortcomings. Conditional units have gradually reduced their use. At present, total bowel lavage is more commonly used. Since Hewitt advocated this method in 1973, there have been many improvements in the method. Golytely lavage fluid (polyethylene glycol, potassium chloride, sodium bicarbonate, and sodium sulfate) was introduced in the 1980s. Due to the application of sodium sulfate as main salt and non-absorbed polyethylene