摘要
目的探讨术中结肠灌洗在左半结肠肿瘤并肠梗阻患者行一期肠道切除吻合术中的临床应用效果。方法 38例左半结肠肿瘤并肠梗阻患者术中行左半结肠切除后,采用生理盐水、庆大霉素和甲硝唑灌洗清洁肠道后行一期肠吻合。结果 38例患者除1例死于术前并存病外,其余37例治愈出院,无吻合口漏。结论只要严格掌握手术适应证,术中有效结肠灌洗对左半结肠肿瘤并肠梗阻患者行一期肠道切除吻合是安全、可行的。
Objective To discuss the effect of intraoperative colonic irrigation for primary anastomosis in intestinal obstruction caused by left colonic neoplasm. Methods Thirty-eight patients with intestinal obstruction caused by left Colonic neoplasm were studied. The patients were subjected to be used physiological saline, gentamicin and metronidazole in intraoperative as colonic irrigation for primary anastomosis. Results All patients recovered well and had no occurrence of dehiscence of the anastomoses, except one died of comorbidities. Conclusion With strictly surgical indication and intraoperative colonic irrigation,primary anastomosis in intestinal obstruction caused by left colonic neoplasm is safe and feasible.
出处
《结直肠肛门外科》
2010年第2期83-85,共3页
Journal of Colorectal & Anal Surgery
关键词
结肠灌洗
左半结肠肿瘤
肠梗阻
Colonic irrigation
Left colonic neoplasms
Intestinal obstruction
