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目的探讨回肠造口在结肠癌急性梗阻Ⅰ期手术中应用的临床价值。方法回顾性分析29例左半结肠癌并急性肠梗阻Ⅰ期切除吻合回肠造口病例,结合文献评价回肠造口在结肠癌急性梗阻Ⅰ期手术中作用。结果本组29例患者均经手术切除病灶Ⅰ期吻合,回肠造口,无吻合口瘘发生。术后2~3月内行回肠造口回纳术,回纳后无肠瘘发生,Ⅱ期手术时发生切口感染1例,经换药愈合,29例均治愈。结论回肠造口制作和回纳简单,手术并发症少,在预防结肠癌急性梗阻Ⅰ期手术吻合口瘘发生疗效确切,有临床推广价值。
Objective To investigate the clinical value of ileostomy in stage Ⅰ surgery of acute obstruction of colon cancer. Methods A retrospective analysis of 29 cases of left colon cancer with acute intestinal obstruction Ⅰ stage resection and anastomotic ileostomy cases, combined with literature evaluation of ileostomy in acute obstruction of colon cancer stage Ⅰ surgery. Results The group of 29 patients were surgically resected stage Ⅰ anastomosis, ileostomy, anastomotic fistula occurred. Postoperative 2 to 3 months after the ileostomy regimen, no recanalization after intestinal fistula occurred, Ⅱ incision wound occurred in 1 case, the dressing healing, 29 cases were cured. Conclusions The ileostomy is simple and the procedure is simple, the number of operative complications is small. It is effective in preventing stage Ⅰ operative anastomotic leakage of acute obstruction of colon cancer and has clinical value of popularization.