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目的对比三种不同治疗方案对于左半结肠癌急性肠梗阻患者的效果。方法选取本院就诊的30例左半结肠癌急性肠梗阻患者,采用三种不同的治疗方案进行比较,各组10例患者,A组采用切除吻合术联合全结肠灌洗疗法,B组采取切除吻合术治疗,C组通过切除吻合近端造瘘术手术治疗,对三种手术方式治疗左半结肠癌急性肠梗阻进行效果评价。结果三组术后都出现明显的发热症状,而腹胀、吻合口瘘、伤口并发症发生较少,A组甚至未出现吻合口瘘、伤口并发症。B组手术时间显著低于其他两组(P<0.05),A组的住院费用、手术出血量和住院时间均低于其他两组,差异具有显著性(P<0.01)。结论三种手术方式可有效地治疗左半结肠癌急性肠梗阻,此外,Ⅰ期切除吻合术联合全结肠灌洗治疗方案治疗效价最高。
Objective To compare the efficacy of three different treatment regimens in patients with acute intestinal obstruction of left colon cancer. Methods Thirty patients with acute left intestinal obstruction of left colon cancer were selected and treated with three different treatment regimens. Ten patients in each group were treated with resection and anastomosis and total colon irrigation in group A, and resection in group B Anastomosis treatment, C group by surgical resection of anastomosis proximal ostomy, the three surgical treatment of acute intestinal obstruction of the left colon cancer evaluation. Results All the three groups showed obvious fever symptoms, but abdominal distension and anastomotic fistula had fewer complications. There was no anastomotic fistula or wound complications in group A. The operation time of group B was significantly lower than that of the other two groups (P <0.05). The hospitalization costs, the amount of bleeding during operation and the length of hospital stay in group A were significantly lower than those in the other two groups (P <0.01). Conclusions The three surgical methods are effective in treating acute intestinal obstruction of the left colon cancer. In addition, the first stage resection and anastomosis combined with the whole colon lavage treatment has the highest treatment titer.