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1、術(shù)中腸道灌洗在梗阻性左半結(jié)腸癌根治術(shù)中療效研究【摘要】目的探討術(shù)中腸道灌洗在梗阻性左半結(jié)腸癌根治術(shù)中腸道一期切除吻合的臨床療效。方法回顧性分析86例左半結(jié)腸癌并急性梗阻患者的術(shù)中處理。結(jié)果治療組61例，行術(shù)中腸道灌洗一期切除吻合，56例恢復(fù)順利，無并發(fā)癥發(fā)生，5例出現(xiàn)傷口感染，3例出現(xiàn)吻合口瘺，2例死亡，均因晚期腫瘤致多器官衰竭死亡；對照組25例，行一期腸切除吻合而未行術(shù)中腸道灌洗，12例出現(xiàn)傷口感染，9例出現(xiàn)吻合口瘺，其中8例出現(xiàn)感染性休克，死于多器官功能衰竭（MODS）。統(tǒng)計顯示術(shù)中腸道灌洗一期腸切除吻合組并發(fā)癥發(fā)生率和死亡率明顯低于未行結(jié)腸灌洗組,差異有統(tǒng)計學(xué)意義。結(jié)論左半結(jié)腸癌性梗阻

2、術(shù)中腸道灌洗一期切除吻合對提高患者生存率，減少并發(fā)癥發(fā)生有重要意義?！娟P(guān)鍵詞】術(shù)中腸道灌洗；左半結(jié)腸癌性梗阻；腸吻合EfficacyofintraoperativeirrigationofcoloninprimaryresectionofleftcolonicobstructivecancerLILin．qing.MidiHospitalofPanzhihua，Manzhihua617063,China【Abstract】ObjectiveToinvestigatethe8術(shù)中腸道灌洗在梗阻性左半結(jié)腸癌根治術(shù)中療效研究【摘要】目的探討術(shù)中腸道灌洗在梗阻性左半結(jié)腸癌根治術(shù)中腸道一期切除吻合的臨

3、床療效。方法回顧性分析86例左半結(jié)腸癌并急性梗阻患者的術(shù)中處理。結(jié)果治療組61例，行術(shù)中腸道灌洗一期切除吻合，56例恢復(fù)順利，無并發(fā)癥發(fā)生，5例出現(xiàn)傷口感染，3例出現(xiàn)吻合口瘺，2例死亡，均因晚期腫瘤致多器官衰竭死亡；對照組25例，行一期腸切除吻合而未行術(shù)中腸道灌洗，12例出現(xiàn)傷口感染，9例出現(xiàn)吻合口瘺，其中8例出現(xiàn)感染性休克，死于多器官功能衰竭（MODS）。統(tǒng)計顯示術(shù)中腸道灌洗一期腸切除吻合組并發(fā)癥發(fā)生率和死亡率明顯低于未行結(jié)腸灌洗組,差異有統(tǒng)計學(xué)意義。結(jié)論左半結(jié)腸癌性梗阻術(shù)中腸道灌洗一期切除吻合對提高患者生存率，減少并發(fā)癥發(fā)生有重要意義。【關(guān)鍵詞】術(shù)中腸道灌洗；左半結(jié)腸癌性梗阻；腸吻合Ef

4、ficacyofintraoperativeirrigationofcoloninprimaryresectionofleftcolonicobstructivecancerLILin．qing.MidiHospitalofPanzhihua，Manzhihua617063,China【Abstract】ObjectiveToinvestigatethe8effectivenessofintraoperativecolonicirrigationinprimaryresectionofleftcolonicobstructivecancer．Methods86casesofacuteobst

5、ructiveleftcoloniccancerwereretrospectivelystudied．Results61patientsunderwentcolonicirrigationduringprimaryresectionofleftcolon．58subjectssuccessfullyrecovered,5ofthemsufferedfromwoundinfection,3patientssufferedfromanastomoticleakages,2fatalcaseswerenoted．Inthecontrolgroup，25patientsreceivedprimary

6、resectionwithoutcolonicirrigationduringoperation,12ofthemsufferedfromwoundinfection,9patientssufferedfromanastomoticleakages，and8ofthemsufferedfrominfectiveshockanddiedofMODS．Thefrequencyofoccurrenceofcomplicationandmortalitywassignificantlylowerthanthecontrolsubjectswithoutreceivingcolonicirrigati

7、onduringoperation.ConclusionIntraoperativecolonicirrigationmayreducecomplicationandincreasethesurvivalrateofpatientswithobstructivecoloniccancer．【Keywords】Obstructivecoloniccancer；Colonic8irrigation；Intesti